Organization
CLAY WILSON & ASSOCIATES
Active
Other names
The Cognitive Connection
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA R HERRON (MEDICAL RECORDS SUPERVISOR)
(828) 327-6026
Entity
Organization
Contact information
Practice address
1109 2ND AVE SW, HICKORY, NC 28602-2545
(828) 327-6026
(828) 327-8796
Mailing address
1109 2ND AVE SW, HICKORY, NC 28602-2545
(828) 327-6026
(828) 327-8796
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005415
—
NC
Enumeration date
11/02/2010
Last updated
11/02/2010
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