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Organization
HAYWOOD FAMILY MEDICINE PROFESSIONAL LLC
Active
Organization
HAYWOOD FAMILY MEDICINE PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GRANT MULHOLLAND M.D. (OWNER)
(828) 456-9006
Entity
Organization
Contact information
Practice address
1170 CRABTREE RD, WAYNESVILLE, NC 28785-7443
(828) 456-9006
(828) 456-8199
Mailing address
1170 CRABTREE RD, WAYNESVILLE, NC 28785-7443
(828) 456-9006
(828) 456-8199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6131F
BLUE CROSS
NC
Enumeration date
07/05/2006
Last updated
10/16/2007
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