NPI | 1144288085 |
---|---|
Doing Business As | PRIME CARE OF HICKORY BRANCH |
Entity Type | Organization |
Authorized Contact | PAUL M. BARRY Medical Director 336-774-0040 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-05-02 |
Last Update Date | 2020-08-22 |