NPI | 1023283355 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTOINETTE W. WALL President 828-684-3949 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NC 20857) |
Enumeration Date | 2008-04-28 |
Last Update Date | 2008-04-28 |