NPI | 1124083753 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH HUME GRAVES Practice Administrator 828-485-2707 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NC 9501318) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2009-12-16 |