| NPI | 1598891665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY ROBERT MESA Partner/Officer 828-694-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 103090) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2009-12-01 |