Organization
HAYWOOD FAMILY MEDICINE PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GRANT MULHOLLAND M.D. (OWNER)
(828) 456-9006
Entity
Organization
Contact information
Practice address
1170 CRABTREE RD, WAYNESVILLE, NC 28785-7443
(828) 456-9006
(828) 456-8199
Mailing address
1170 CRABTREE RD, WAYNESVILLE, NC 28785-7443
(828) 456-9006
(828) 456-8199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6131F
BLUE CROSS
NC
Enumeration date
07/05/2006
Last updated
10/16/2007
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