Organization

Clifford H. Mault, D.O., P.A.

Internal Medicine Physician in Sylva, NC(View on Map)

Legal Business Name

Clifford H. Mault, D.O., P.A.

NPI Number

1881891828

NPI Type

Organization

Enumeration Date

07/02/2007

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Licenses

State

North Carolina

License Number

200300173

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 1836
12 GRINDSTAFF COVE RD

City

Sylva
Sylva

State

NC
NC

Postal Code

28779
28779

Country

US
US

Telephone Number

(828) 586-0807
(828) 586-0807

Authorized Official

Name

Dr. Clifford Mault

Title or Position

PROVIDER/OWNER

Telephone Number

(828) 586-0807

Identifiers

Identifier

138XC
5907223

Identifier State

NC
NC

Identifier Issuer

BCBS
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/19/2012

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