Provider Demographics
NPI:1437013612
Name:PATCHWORK COMMUNITY CARE LLC
Entity type:Organization
Organization Name:PATCHWORK COMMUNITY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, PHYSICIAN ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:WREN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:DMS, PA-C, AAHIVS
Authorized Official - Phone:828-338-7523
Mailing Address - Street 1:172 HARVEY OSTEEN RD
Mailing Address - Street 2:
Mailing Address - City:ZIRCONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28790-5701
Mailing Address - Country:US
Mailing Address - Phone:828-388-7523
Mailing Address - Fax:
Practice Address - Street 1:172 HARVEY OSTEEN RD
Practice Address - Street 2:
Practice Address - City:ZIRCONIA
Practice Address - State:NC
Practice Address - Zip Code:28790-5701
Practice Address - Country:US
Practice Address - Phone:828-388-7523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-12
Last Update Date:2025-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty