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Organization
SOUTHMOUNTAIN CHILDREN AND FAMILY SERVICES
Active
Organization
SOUTHMOUNTAIN CHILDREN AND FAMILY SERVICES
Active
Other names
Children's Advocacy Center of the Blue Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JERNIGAN (EXECUTIVE DIRECTOR)
(828) 584-1105
Entity
Organization
Contact information
Practice address
8076 HWY 105 SOUTH, BOONE, NC 28607
(828) 963-9777
Mailing address
PO BOX 3387, MORGANTON, NC 28680-3387
(828) 391-2803
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207Q00000X
Family Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
10/26/2012
Last updated
05/16/2019
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