# INTEGRATED CARE OF GREATER HICKORY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rudisill Family Practice PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366972325
- **Authorized official:** MR. COREY JOHN RICHARDSON DHSC, MBA (CEO/PRESIDENT)
- **Authorized official phone:** (828) 322-5915

## Contact information

- **Practice address:** 350 E PARKER RD, MORGANTON, NC 28655
- **Practice address phone:** (828) 322-5915
- **Practice address fax:** (828) 345-0387
- **Mailing address:** 350 E PARKER RD, MORGANTON, NC 28655-5155
- **Mailing address phone:** (828) 322-5915
- **Mailing address fax:** (828) 345-0387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2017
- **Last updated:** 07/21/2022