| NPI | 1417013988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN GLEESON-WARREN Director Of Credentialing 828-210-2678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: NC 31342) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2014-03-19 |