KATHERINE LAURA TISON
Individual Provider (NPI-1)
Active
Allergy & Immunology
Provider Information
- NPI Number
1740676022- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1017 ASHES DR STE 206, WILMINGTON, NC, 284058308
- Phone
- (910) 239-9584
- Fax
- (910) 679-4086
Specialties & Taxonomies
Allergy & Immunology
Primary License: NC #2021-01418