| NPI | 1043519945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A. BRAZIL Chief Operations Officer 828-213-0799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-02682) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2011-03-18 |