| NPI | 1881891828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD H. MAULT Provider/Owner 828-586-0807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200300173) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2012-06-19 |