Organization
COUNTY OF HAYWOOD
Active
Other names
Haywood County HHSA-Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK H. JOHNSON RN C, MPA (PUBLIC HEALTH DIRECTOR)
(828) 452-6675
Entity
Organization
Contact information
Practice address
157 PARAGON PARKWAY, SUITE 700, CLYDE, NC 28721
(828) 452-6701
(828) 452-6619
Mailing address
157 PARAGON PARKWAY, SUITE 700, CLYDE, NC 28721
(828) 452-6701
(828) 452-6619
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404344
—
NC
Enumeration date
01/24/2007
Last updated
11/07/2016
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