| R & C Clinic Inc | |
|
1019 Lenoir Rhyne Blvd Se Hickory NC 28602-4331 | |
| (828) 324-4143 | |
| (828) 324-6225 |
| Full Name | R & C Clinic Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1019 Lenoir Rhyne Blvd Se, Hickory, North Carolina |
| Authorized Official Name and Position | Rudy A Santoso (PRESIDNET) |
| Authorized Official Contact | 8283244143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R & C Clinic Inc 1019 Lenoir Rhyne Blvd Se Hickory NC 28602-4331 Ph: (828) 324-4143 | R & C Clinic Inc 1019 Lenoir Rhyne Blvd Se Hickory NC 28602-4331 Ph: (828) 324-4143 |
| NPI Number | 1235319146 |
|---|---|
| Provider Enumeration Date | 11/08/2007 |
| Last Update Date | 11/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235319146 | NPI | - | NPPES |
| 7974543 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 26148 (North Carolina) | Primary |
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