| NPI | 1447999057 |
|---|---|
| Doing Business As | PARDEE BLUEMD-643 FIFTH AVENUE WEST |
| Entity Type | Organization |
| Authorized Contact | MICHAEL LYNN SUNDAY VP, Chief Financial Officer 828-696-1175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2023-05-11 |