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Contact Information

WILLOW MEDICAL GROUP LLC
1721 BREVARD RD
HENDERSONVILLE, NC28791-3201
 Phone: 480-926-7800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for WILLOW MEDICAL GROUP LLC · (Female)

NPI # 1063057578
Status Active
Credentials
Entity Individual
Enumeration date 11/08/2019
Last updated 08/19/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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