Full Name | |
---|---|
Speciality | Family Medicine |
Location | 2659 Us Hwy 70e, Valdese, North Carolina |
Authorized Official Name and Position | Robert Fritts (SVP-CFO) |
Authorized Official Contact | 8285805545 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2659 Us Hwy 70e Valdese NC 28690 Ph: (828) 580-4080 | 2659 Us Hwy 70e Valdese NC 28690 Ph: (828) 580-4080 |
NPI Number | 1770797409 |
---|---|
Provider Enumeration Date | 05/10/2007 |
Last Update Date | 04/23/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770797409 | NPI | - | NPPES |
2005000010 | Other | NC | LICENSE |
9400856 | Other | NC | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |