# HIDA CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154506699
- **Authorized official:** DR. EMILY JANE TATUM MD (SOLE ORGANIZER)
- **Authorized official phone:** (828) 644-5573

## Contact information

- **Practice address:** 1939 SHOAL CREEK RD, MURPHY, NC 28906-8480
- **Practice address phone:** (828) 644-5573
- **Practice address fax:** (828) 644-5562
- **Mailing address:** 1939 SHOAL CREEK RD, MURPHY, NC 28906-8480
- **Mailing address phone:** (828) 494-7157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 2007-00088 | NC | Yes |

## Other

- **Enumeration date:** 01/03/2008
- **Last updated:** 09/22/2010