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Organization
WNC LONGTERM HEALTHCARE, PLLC
Active
Organization
WNC LONGTERM HEALTHCARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY J RUSSELL MD (OWNER)
(828) 693-4431
Entity
Organization
Contact information
Practice address
510 BALSAM RD, HENDERSONVILLE, NC 28792-5703
(828) 693-4431
Mailing address
PO BOX 2570, HENDERSONVILLE, NC 28793-2570
(828) 693-4431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/13/2012
Last updated
06/10/2013
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