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 |