Facts
- Status
- A
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2017-05-11
- Last updated
- 2022-09-28
Specialties
Licenses
- License NC
- 201902478
Location
- Practice location
- 183 LEDFORD ST
- City
- MURPHY NC
- Postal code
- 289066213
- Phone
- 828-837-4712
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.