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532 Moose Branch Rd Robbinsville NC 28771-7804 | |
(828) 837-0071 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 532 Moose Branch Rd, Robbinsville, North Carolina |
Authorized Official Name and Position | Amanda Nicole Dockery (CREDENTIALING SUPERVISOR) |
Authorized Official Contact | 8288370071 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 444 Murphy NC 28906-0444 Ph: (828) 837-0071 | 532 Moose Branch Rd Robbinsville NC 28771-7804 Ph: (828) 837-0071 |
NPI Number | 1861984478 |
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Provider Enumeration Date | 05/31/2018 |
Last Update Date | 12/10/2019 |
Certification Date | 12/10/2019 |
Identifier | Type | State | Issuer |
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1861984478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | MHL-038-024 (North Carolina) | Primary |