Organization
BLACK MOUNTAIN NEURO-MEDICAL TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK L ST CLAIR ED. D. (BUSINESS MANAGER)
(828) 259-6720
Entity
Organization
Contact information
Practice address
932 OLD US 70 W, BLACK MOUNTAIN, NC 28711-2547
(828) 259-6720
(828) 669-3169
Mailing address
932 OLD US 70 W, BLACK MOUNTAIN, NC 28711-2547
(828) 259-6720
(828) 669-3169
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
N/A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406437
—
NC
05
—
3495689
—
NC
Enumeration date
02/26/2010
Last updated
03/07/2024
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