| NPI | 1437629664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL HILL Provider Enrollment Specialist 828-651-6579 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology | |
| 2084P0005X Psychiatry & Neurology Neurodevelopmental Disabilities | |
| 2084P0015X Psychiatry & Neurology Psychosomatic Medicine | |
| 2084P0301X Psychiatry & Neurology Brain Injury Medicine | |
| 2084P2900X Psychiatry & Neurology Pain Medicine | |
| 2084S0010X Psychiatry & Neurology Sports Medicine | |
| 2084S0012X Psychiatry & Neurology Sleep Medicine | |
| 2084V0102X Psychiatry & Neurology Vascular Neurology | |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |