NPI | 1699538520 |
---|---|
Doing Business As | PARDEE BLUEMD 807 N JUSTICE STREET |
Entity Type | Organization |
Authorized Contact | MICHAEL LYNN SUNDAY CFO, VP Of Finance 828-696-1175 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2024-02-02 |
Last Update Date | 2024-02-07 |