| NPI | 1962131656 |
|---|---|
| Doing Business As | PARDEE BLUEMD-2695 HENDERSONVILLE ROAD, SUITE 202 |
| Entity Type | Organization |
| Authorized Contact | MICHAEL LYNN SUNDAY VP, Chief Financial Officer 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 | 2022-06-08 |
| Last Update Date | 2023-05-11 |