Organization
HILDEBRAN MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ILAR DAVIDSON (OFFICE MANAGER)
(828) 397-3522
Entity
Organization
Contact information
Practice address
107 S CENTER ST, HILDEBRAN, NC 28637-8304
(828) 397-3522
(828) 397-5271
Mailing address
PO BOX 829, HILDEBRAN, NC 28637-0829
(828) 397-3522
(828) 397-5271
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33531
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790274T
—
NC
Enumeration date
07/28/2005
Last updated
04/07/2020
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