NPI | 1457503880 |
---|---|
Former Legal Business Name | JOHN C BETANCOURT MD, PLLC |
Entity Type | Organization |
Authorized Contact | JOHN CLEMENTS BETANCOURT Owner/President 828-874-4600 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 9800014) |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: NC 34D1038246) |
Enumeration Date | 2008-10-16 |
Last Update Date | 2014-10-03 |