Healthcare Provider Details

I. General information

NPI: 1497081780
Provider Name (Legal Business Name): URGENT CARE OF BOONE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2009
Last Update Date: 08/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

178 HIGHWAY 105 EXIT SUITE 101
BOONE NC
28607
US

IV. Provider business mailing address

935 SHOTWELL RD SUITE 108
CLAYTON NC
27520
US

V. Phone/Fax

Practice location:
  • Phone: 828-265-7146
  • Fax: 828-265-7150
Mailing address:
  • Phone: 919-550-0821
  • Fax: 919-550-0735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NENA REEVES
Title or Position: DIRECTOR OF BUSINESS DEVELOPMENT
Credential:
Phone: 919-550-0821