| NPI | 1982716858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFRY WILLIAM ARCHER Practice Manager 828-286-9149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 39115) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |