Individual
EILEEN KLEIN EUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 TABERNACLE RD, BLACK MOUNTAIN, NC 28711-2526
(828) 669-3465
Mailing address
114 VEHORN RD, FAIRVIEW, NC 28730-9115
(828) 628-1586
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
100627
NC
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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