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Organization
INTEGRATED CARE OF GREATER HICKORY, INC
Active
Organization
INTEGRATED CARE OF GREATER HICKORY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELBERT ANDREW RUDISILL MD (PRESIDENT)
(828) 322-5915
Entity
Organization
Contact information
Practice address
1228 N FLINT ST, LINCOLNTON, NC 28092-5239
(828) 322-5915
Mailing address
1228 N FLINT ST, LINCOLNTON, NC 28092-5239
(828) 322-5915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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