NPI | 1972876399 |
---|---|
Entity Type | Organization |
Authorized Contact | RITA R BURCH Executive Director 828-245-0095 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: MI 9400625) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 100690) |
363LF0000X Nurse Practitioner, Family (Licence: NC 138928) | |
Enumeration Date | 2012-02-15 |
Last Update Date | 2012-02-15 |