| The Harriet And Charles Davant Medical Clinic At Chestnut Ridge | |
|
623 Chestnut Ridge Parkway Blowing Rock NC 28605-0000 | |
| (828) 262-4133 | |
| (828) 262-4103 |
| Full Name | The Harriet And Charles Davant Medical Clinic At Chestnut Ridge |
|---|---|
| Speciality | Internal Medicine |
| Location | 623 Chestnut Ridge Parkway, Blowing Rock, North Carolina |
| Authorized Official Name and Position | Mary Etta Long (SR VP MEDICAL STAFF RELATIONS) |
| Authorized Official Contact | 8282624133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Harriet And Charles Davant Medical Clinic At Chestnut Ridge 623 Chestnut Ridge Parkway Blowing Rock NC 28605-0000 Ph: (828) 262-4133 | The Harriet And Charles Davant Medical Clinic At Chestnut Ridge 623 Chestnut Ridge Parkway Blowing Rock NC 28605-0000 Ph: (828) 262-4133 |
| NPI Number | 1629428370 |
|---|---|
| Provider Enumeration Date | 06/14/2016 |
| Last Update Date | 06/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629428370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (North Carolina) | Primary |
Blowing Rock Medical Park Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8439 Valley Blvd, Blowing Rock, NC 28605 Phone: 828-295-3116 Fax: 828-295-4388 | |
Blowing Rock Medical Clinic Pr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 366 Chestnut Drive, Blowing Rock, NC 28605 Phone: 828-295-3116 Fax: 828-295-4388 |