| NPI | 1154506699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY JANE TATUM Sole Organizer 828-644-5573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 2007-00088) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2010-09-22 |