Organization Name: | BOILING SPRINGS MEDICAL ASSOCIATES, PA |
NPI Number: | 1275592677 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT MARSHALL DORN (PRESIDENT & OWNER) |
Mailing Address: | 305 W. College Ave. Boiling Springs |
State: | NC US |
Postal Code: | 280170815 |
Phone Number: | 7044340365 |
Fax Number: | 7044342801 |
NPI Enumeration Date: | 03/23/2006 |
NPI Last Update Date: | 03/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 32231 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |