| Parkway Rutherford - Cst | |
|
356 Charlotte Rd Rutherfordton NC 28139-2916 | |
| (828) 287-7945 | |
| Not Available |
| Full Name | Parkway Rutherford - Cst |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 356 Charlotte Rd, Rutherfordton, North Carolina |
| Authorized Official Name and Position | Pamela L Freeley (NC BILLING SYSTEM SUPERVISOR) |
| Authorized Official Contact | 7043440491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkway Rutherford - Cst Po Box 759194 Baltimore MD 21275-9194 Ph: (704) 344-0491 | Parkway Rutherford - Cst 356 Charlotte Rd Rutherfordton NC 28139-2916 Ph: (828) 287-7945 |
| NPI Number | 1750712998 |
|---|---|
| Provider Enumeration Date | 12/12/2013 |
| Last Update Date | 12/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750712998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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