| Ppadwvl LLC | |
|
3 N Main St Weaverville NC 28787-9427 | |
| (828) 713-9626 | |
| (828) 484-8956 |
| Full Name | Ppadwvl LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 3 N Main St, Weaverville, North Carolina |
| Authorized Official Name and Position | Andrew Stoker (CO OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8285756421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ppadwvl LLC 3 N Main St Weaverville NC 28787-9427 Ph: (828) 713-9626 | Ppadwvl LLC 3 N Main St Weaverville NC 28787-9427 Ph: (828) 713-9626 |
| NPI Number | 1447919196 |
|---|---|
| Provider Enumeration Date | 12/09/2021 |
| Last Update Date | 12/09/2021 |
| Certification Date | 12/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447919196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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