Organization
MEDICAL ALLIANCE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG LAWSON CLARY MD (MANAGING MEMBER)
(828) 437-8158
Entity
Organization
Contact information
Practice address
505 W FLEMING DR, MORGANTON, NC 28655-3923
(828) 437-8158
(828) 438-9552
Mailing address
505 W FLEMING DR, MORGANTON, NC 28655-3923
(828) 437-8158
(828) 438-9552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9400753
NC
2084P0800X
Psychiatry Physician
9400753
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130GN
BCBS
NC
05
—
5911795
—
NC
Enumeration date
11/10/2008
Last updated
12/11/2009
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