Healthcare Provider Details

I. General information

NPI: 1831884923
Provider Name (Legal Business Name): ADVANCED MEDICAL CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2023
Last Update Date: 04/06/2023
Certification Date: 04/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2180 NORTHWEST BLVD
NEWTON NC
28658-3753
US

IV. Provider business mailing address

2180 NORTHWEST BLVD
NEWTON NC
28658-3753
US

V. Phone/Fax

Practice location:
  • Phone: 828-482-4740
  • Fax: 828-276-7204
Mailing address:
  • Phone: 828-482-4740
  • Fax: 828-276-7204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RICHARD KEITH HUGHLETT
Title or Position: OWNER / PARTNER
Credential: MD
Phone: 828-482-4740