Organization
ESPIRITU CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERNANE BAUTISTA ESPIRITU (PRACTICE MANAGER)
(888) 898-7130
Entity
Organization
Contact information
Practice address
715 FAIRGROVE CHURCH RD SE, SUITE 204, CONOVER, NC 28613-9290
(888) 898-7130
(828) 322-7921
Mailing address
2425 N CENTER ST, 370, HICKORY, NC 28601-1320
(888) 898-7130
(828) 322-7921
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891352X
—
NC
Enumeration date
02/28/2006
Last updated
01/21/2011
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