| NPI | 1992887855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID AUGUSTUS VICKERY Owner 828-274-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 200201416) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2022-04-07 |