Organization
HICKORY FAMILY PRACTICE ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EARL M.D. (PRESIDENT)
(828) 328-2941
Entity
Organization
Contact information
Practice address
52 12TH AVE NE, HICKORY, NC 28601-2695
(828) 328-2941
(828) 328-4049
Mailing address
52 12TH AVE NE, HICKORY, NC 28601-2695
(828) 328-2941
(828) 328-4049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40313
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901561
—
NC
Enumeration date
06/22/2006
Last updated
12/02/2009
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