Organization
INTERNAL MEDICINE OF ALLEGHANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW JOHN KOVACICH (PRACTICE MANAGER)
(336) 372-2481
Entity
Organization
Contact information
Practice address
248 DOCTORS ST, SUITE A, SPARTA, NC 28675-9421
(336) 372-2481
(336) 372-4153
Mailing address
248 DOCTORS ST, SUITE A, SPARTA, NC 28675-9421
(336) 372-2481
(336) 372-4153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/12/2009
Last updated
09/15/2009
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