Organization
R & C CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDY A SANTOSO M.D. (PRESIDNET)
(828) 324-4143
Entity
Organization
Contact information
Practice address
1019 LENOIR RHYNE BLVD SE, HICKORY, NC 28602-4331
(828) 324-4143
(828) 324-6225
Mailing address
1019 LENOIR RHYNE BLVD SE, HICKORY, NC 28602-4331
(828) 324-4143
(828) 324-6225
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26148
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7974543
—
NC
Enumeration date
11/08/2007
Last updated
11/09/2007
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