NPI | 1477516698 |
---|---|
Former Legal Business Name | MOUNTAIN KIDNEY ASSOCIATES, P.A. |
Entity Type | Organization |
Authorized Contact | THOMAS CHRISTOPHER CROOK CEO 828-258-5510 |
Organization Subpart ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 40057) |
Enumeration Date | 2006-04-10 |
Last Update Date | 2021-07-19 |