SOUTH PARK MEDICAL CLINIC PA

HICKORY, NC
NPI1083614564
Entity TypeOrganization
Authorized ContactELBERT ANDREW RUDISILL
President
828-322-5915
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NC  21863)
Enumeration Date2005-07-27
Last Update Date2020-08-22
Business Address
SOUTH PARK MEDICAL CLINIC PA
133 1ST AVE SE
HICKORY, NC 28602-3005
Phone number: 828-322-5915
Mailing Address
SOUTH PARK MEDICAL CLINIC PA
133 1ST AVE SE
HICKORY, NC 28602-3005
Phone number: 828-322-5915