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72 Blue Ridge Ln Burnsville NC 28714-7270 | |
| (828) 682-2111 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 72 Blue Ridge Ln, Burnsville, North Carolina |
| Authorized Official Name and Position | Jennifer D Lozano (VP OF FINANCIAL SERVICES) |
| Authorized Official Contact | 4049682663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1848 Ph: (404) 364-2900 | 72 Blue Ridge Ln Burnsville NC 28714-7270 Ph: (828) 682-2111 |
| NPI Number | 1255790937 |
|---|---|
| Provider Enumeration Date | 02/23/2016 |
| Last Update Date | 02/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255790937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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