# INTEGRATED CARE OF GREATER HICKORY, INC

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

## Provider details

- **NPI number:** 1194219931
- **Authorized official:** ELBERT ANDREW RUDISILL MD (PRESIDENT)
- **Authorized official phone:** (828) 322-5915

## Contact information

- **Practice address:** 1228 N FLINT ST, LINCOLNTON, NC 28092-5239
- **Practice address phone:** (828) 322-5915
- **Mailing address:** 1228 N FLINT ST, LINCOLNTON, NC 28092-5239
- **Mailing address phone:** (828) 322-5915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2018
- **Last updated:** 06/15/2018