| NPI | 1114191525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN GLEESON-WARREN Director Of Credentialing 828-210-2678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2014-03-19 |