NPI | 1750621603 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMY R GREENWELL CEO 828-233-2284 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
207Q00000X Family Medicine | |
Enumeration Date | 2013-02-28 |
Last Update Date | 2025-09-08 |