Organization
CROWN HEALTH CARE, PA
Active
Other names
Generations Family Medicine & Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN STEWART (ADMINISTRATIVE ASSISTANT)
(828) 465-9293
Entity
Organization
Contact information
Practice address
212 29TH AVE NE, HICKORY, NC 28601-1130
(828) 485-2762
Mailing address
212 29TH AVE NE, HICKORY, NC 28601-1130
(828) 485-2762
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN8132
MEDICARE RAILROAD
NC
Enumeration date
01/30/2007
Last updated
11/12/2007
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