Organization
ADOLESCENT AND ADULT WOMEN'S CARE, PA
Active
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
Update your record
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