| NPI | 1902441041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA RENEE QUEEN Office Manager 828-506-1927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |