Organization
UNIFOUR FAMILY HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TABITHA D TATE (PRACTICE ADMINISTRATOR)
(828) 855-3644
Entity
Organization
Contact information
Practice address
3451 GRAYSTONE PL SE, NEWTON, NC 28613-8200
(828) 465-3644
Mailing address
3451 GRAYSTONE PL SE, CONOVER, NC 28613-8200
(828) 285-5364
(828) 285-5335
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000108
—
NC
Enumeration date
01/02/2008
Last updated
12/22/2010
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