Individual
DR. LAUREL EVANS BROADHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 TABERNACLE RD, JFK-ADATC, BLACK MOUNTAIN, NC 28711-2526
(828) 669-3455
Mailing address
1000S STERLING ST, MORGANTON, NC 28655-3938
(828) 433-2566
(828) 433-2242
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
009501185
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8912992
—
NC
Enumeration date
03/26/2007
Last updated
10/30/2015
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