Organization
CLIFFORD H. MAULT, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD H. MAULT D.O. (PROVIDER/OWNER)
(828) 586-0807
Entity
Organization
Contact information
Practice address
12 GRINDSTAFF COVE RD, SYLVA, NC 28779
(828) 586-0807
(828) 586-8490
Mailing address
PO BOX 1836, SYLVA, NC 28779
(828) 586-0807
(828) 586-8490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200300173
NC
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138XC
BCBS
NC
05
—
5907223
—
NC
Enumeration date
07/02/2007
Last updated
06/19/2012
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