| NPI | 1972735603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADFORD W LAWRENCE Owner/President 828-212-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2016-02-22 |