NPI | 1083614564 |
---|---|
Entity Type | Organization |
Authorized Contact | ELBERT ANDREW RUDISILL President 828-322-5915 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 21863) |
Enumeration Date | 2005-07-27 |
Last Update Date | 2020-08-22 |