NPI | 1366972325 |
---|---|
Former Legal Business Name | RUDISILL FAMILY PRACTICE PA |
Entity Type | Organization |
Authorized Contact | COREY JOHN RICHARDSON CEO/President 828-322-5915 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2017-06-13 |
Last Update Date | 2022-07-21 |