Organization
WILLOW TREE MEDICAL CONCEPTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY CRANSTON M.D. (MEDICAL DIRECTOR)
(828) 264-2727
Entity
Organization
Contact information
Practice address
128 MEADOWVIEW DR, BOONE, NC 28607-5211
(828) 264-2727
(828) 264-2722
Mailing address
128 MEADOWVIEW DR, BOONE, NC 28607-5211
(828) 264-2727
(828) 264-2722
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
98-01223
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5916167
—
NC
Enumeration date
01/31/2012
Last updated
02/24/2012
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