Livanta Medical Center
Physician Assistant, Medical in Hickory, NC. Organization (NPI-2).
NPI number1982155263
StatusActive
Last updated in NPPESJul 18, 2018
Details
- NPI
- 1982155263
- Entity type
- Organization (NPI-2)
- Legal business name
- Livanta Medical Center
- Organization subpart
- No
- Enumeration date
- Oct 20, 2016
- Last updated
- Jul 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
2105 Catawba Valley Blvd SeHickory, NC 28602
Phone 828-358-0000 · Fax 828-544-8284
Mailing address
2105 Catawba Valley Blvd SeHickory, NC 28602-4151
Phone 828-358-0000 · Fax 828-544-8284
Authorized official
Dalan D Garcia
Owner
9096317501
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