# WILLOW TREE MEDICAL CONCEPTS

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

## Provider details

- **NPI number:** 1215209614
- **Authorized official:** JAY CRANSTON M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (828) 264-2727

## Contact information

- **Practice address:** 128 MEADOWVIEW DR, BOONE, NC 28607-5211
- **Practice address phone:** (828) 264-2727
- **Practice address fax:** (828) 264-2722
- **Mailing address:** 128 MEADOWVIEW DR, BOONE, NC 28607-5211
- **Mailing address phone:** (828) 264-2727
- **Mailing address fax:** (828) 264-2722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 98-01223 | NC | Yes |

## Other

- **Enumeration date:** 01/31/2012
- **Last updated:** 02/24/2012