Organization
ADOLESCENT AND ADULT WOMEN'S CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SAKATOS (OFFICE MANAGER)
(828) 485-2270
Entity
Organization
Contact information
Practice address
1052 13TH ST SE, HICKORY, NC 28602-4164
(828) 485-2270
(828) 485-2268
Mailing address
1052 13TH ST SE, HICKORY, NC 28602-4164
(828) 485-2270
(828) 485-2268
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912974965
—
SC
01
—
639295
WELLPATH
NC
Enumeration date
09/07/2007
Last updated
10/15/2010
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