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Organization
VALDESE FAMILY PRACTICE, PA
Active
Organization
VALDESE FAMILY PRACTICE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA B WALKER (OFFICE MANAGER)
(828) 874-1316
Entity
Organization
Contact information
Practice address
99 GRIFFIN STREET, RUTHERFORD COLLEGE, NC 28671
(828) 874-1316
(828) 874-1092
Mailing address
99 GRIFFIN STREET, PO BOX 806, RUTHERFORD COLLEGE, NC 28671
(828) 874-1316
(828) 874-1092
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
79330
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0195J
NC BCBS GROUP NUMBER
NC
05
—
890195J
—
NC
Enumeration date
03/22/2007
Last updated
11/07/2012
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