NPI | 1811722143 |
---|---|
Doing Business As | PARDEE BLUEMD 21 TURTLE CREEK DRIVE SUITE 100 |
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 | 2024-09-05 |
Last Update Date | 2024-09-05 |