| NPI | 1013610468 |
|---|---|
| Doing Business As | PARDEE BLUEMD-106 LONG SHOALS ROAD |
| Entity Type | Organization |
| Authorized Contact | MICHAEL LYNN SUNDAY CFO, Vice President 828-696-1175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-03-24 |