| Brevard College | |
|
1 Brevard College Dr Brevard NC 28712-4283 | |
| (972) 367-4845 | |
| Not Available |
| Full Name | Brevard College |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Brevard College Dr, Brevard, North Carolina |
| Authorized Official Name and Position | Mouzon Bass (ADMINISTRATOR/AGENT) |
| Authorized Official Contact | 9723674845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brevard College 15305 Dallas Pkwy Ste 800 Addison TX 75001-6415 Ph: (972) 367-4845 | Brevard College 1 Brevard College Dr Brevard NC 28712-4283 Ph: (972) 367-4845 |
| NPI Number | 1093456113 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 04/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093456113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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