| NPI | 1376562512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA DEFORGE Practice Manager 828-252-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 96-00037NC) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2022-07-21 |