Branches Of Hickory Healthcare PLLC
Family Medicine in Hickory, NC. Organization (NPI-2).
NPI number1659025393
StatusActive
Last updated in NPPESOct 30, 2023
Details
- NPI
- 1659025393
- Entity type
- Organization (NPI-2)
- Legal business name
- Branches Of Hickory Healthcare PLLC
- Organization subpart
- No
- Enumeration date
- Feb 11, 2022
- Certification date
- Oct 30, 2023
- Last updated
- Oct 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
912 2nd St Ne Ste 4Hickory, NC 28601-3851
Phone 828-979-0955 · Fax 828-212-4296
Mailing address
2425 N Center St # 117Hickory, NC 28601-1320
Phone 828-979-0955 · Fax 828-212-4296
Authorized official
Amanda Harris
Owner
8289790955
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