| |
129 Skyview Cir Spruce Pine NC 28777-9518 | |
(828) 765-0894 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 129 Skyview Cir, Spruce Pine, 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 |
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1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1848 Ph: (404) 364-2900 | 129 Skyview Cir Spruce Pine NC 28777-9518 Ph: (828) 765-0894 |
NPI Number | 1609235399 |
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Provider Enumeration Date | 02/23/2016 |
Last Update Date | 02/23/2016 |
Identifier | Type | State | Issuer |
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1609235399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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