Doctor Name: | MR. EMORY KEITH PLOTT |
NPI Number: | 1912142779 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | 5004205 |
Business Practice Address: | 450 Hwy 64 Business Suite 4 Hayesville, NC - 289049694 |
Business Phone Number: | 8283892273 |
Business Fax Number: | 8283898291 |
Mailing Address: | 450 Hwy 64 Business, Suite 4 HAYESVILLE |
State: | NC |
Postal Code: | 289049694 |
Phone Number: | 8283892273 |
Fax Number: | 8283898291 |
NPI Enumeration Date: | 12/09/2008 |
NPI Last Update Date: | 08/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 5004205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |