| NPI | 1376600718 |
|---|---|
| Former Legal Business Name | RUDISILL FAMILY PRACTICE, PA |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS DAVID BLAKEMAN CAO Chief Administrative Officer 828-322-5915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 21863) |
| 101YM0800X Counselor, Mental Health (Licence: NC 21863) | |
| 1041C0700X Social Worker, Clinical (Licence: NC 21863) | |
| 207Q00000X Family Medicine | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2022-04-08 |