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288 S Ridgecrest Ave Rutherfordton NC 28139-2838 | |
| (828) 286-5000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 288 S Ridgecrest Ave, Rutherfordton, North Carolina |
| Authorized Official Name and Position | Jill Hoggard Green (PRESIDENT) |
| Authorized Official Contact | 8282139637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 602373 Charlotte NC 28260-2373 Ph: (828) 250-2833 | 288 S Ridgecrest Ave Rutherfordton NC 28139-2838 Ph: (828) 286-5000 |
| NPI Number | 1023395639 |
|---|---|
| Provider Enumeration Date | 11/10/2011 |
| Last Update Date | 07/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023395639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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