NPI | 1043398209 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDI SHAW GUARINO Practice Administrator 828-322-3898 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 21863) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9900062) |
207R00000X Internal Medicine (Licence: NC 2005-01236) | |
363A00000X Physician Assistant (Licence: NC 101975) | |
363A00000X Physician Assistant (Licence: NC 0010-00869) | |
Enumeration Date | 2006-11-02 |
Last Update Date | 2020-08-22 |