| NPI | 1649399528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN WYNN PETERSON President 828-255-4723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 200101115) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 200500160) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |