Specialization : | Pediatrics |
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Provider Name : | Mission Community Anesthesiology Specialists Llc |
Other Name : | Pediatric |
Primary Address : | 11 Vanderbilt Park Drive Asheville, NC, 28803 United States |
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Phone Number : | 828-213-1740 |
NPI Number : | 1508336157 |
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NPI Entity Type : | Organization |
First Enrolment Date : | 27 Nov, 2018 |
Last Updated On : | 05 Dec, 2018 |
Authorized Official Name : | Marilyn Tatham |
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Official Title or Position : | PROVIDER ENROLLMENT MANAGER |
Phone Number : | 828-651-6595 |
Taxonomy Code | Speciality | Primary | License No. | State |
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207SG0201X | Medical Genetics Clinical Genetics (M.D.) | No | ||
2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | ||
2080P0202X | Pediatrics Pediatric Cardiology | No | ||
2080P0203X | Pediatrics Pediatric Critical Care Medicine | No | ||
2080P0206X | Pediatrics Pediatric Gastroenterology | No | ||
2080P0207X | Pediatrics Pediatric Hematology-Oncology | No | ||
2084P0804X | Psychiatry & Neurology Child & Adolescent Psychiatry | No | ||
208000000X | Pediatrics | Yes |
Identifier | Identifier Type | State | Issuer |
---|---|---|---|
02CG9 | Other | NC | BC/BS OF NC |
027N4 | Other | NC | BC/BS OF NC |
Practice Address | City, State | Phone Number |
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149 W PARKER RD, MORGANTON, NC, 28655-4673 United States | MORGANTON, NC | 828-213-1700 |
260 HOSPITAL DR, BREVARD, NC, 28712-3378 United States | BREVARD, NC | 828-213-1740 |
189 HOSPITAL DR, SPRUCE PINE, NC, 28777-3035 United States | SPRUCE PINE, NC | 828-213-1740 |
310 LONG SHOALS RD STE 110, ARDEN, NC, 28704-8794 United States | ARDEN, NC | 828-213-1740 |
32 E MAIN ST, OLD FORT, NC, 28762-0017 United States | OLD FORT, NC | 828-213-1700 |
190 RIVERVIEW ST, FRANKLIN, NC, 28734-2612 United States | FRANKLIN, NC | 828-213-1740 |
21 HOSPITAL DR, ASHEVILLE, NC, 28801-4550 United States | ASHEVILLE, NC | 828-213-1740 |
186 MEDICAL PARK LOOP STE 501, SYLVA, NC, 28779-4110 United States | SYLVA, NC | 828-213-1740 |
378 S MAIN ST, MARION, NC, 28752-4527 United States | MARION, NC | 828-213-1740 |
128 DR HENRY NORRIS DR, RUTHERFORDTON, NC, 28139-3165 United States | RUTHERFORDTON, NC | 828-213-1700 |
119 HENDERSONVILLE RD, ASHEVILLE, NC, 28803-2868 United States | ASHEVILLE, NC | 828-213-1700 |
339 NEBO SCHOOL RD, NEBO, NC, 28761-6848 United States | NEBO, NC | 828-213-1700 |
5 VANDERBILT PARK DR, ASHEVILLE, NC, 28803-1700 United States | ASHEVILLE, NC | 828-213-1740 |
409 TALLULAH RD, ROBBINSVILLE, NC, 28771-8500 United States | ROBBINSVILLE, NC | 828-213-1740 |
5 VANDERBILT PARK DR, ASHEVILLE, NC, 28803-1700 United States | ASHEVILLE, NC | 828-213-1740 |
900 HENDERSONVILLE RD STE 205, ASHEVILLE, NC, 28803-1753 United States | ASHEVILLE, NC | 828-213-1740 |
9 VANDERBILT PARK DR, ASHEVILLE, NC, 28803-1700 United States | ASHEVILLE, NC | 828-213-1740 |
800 MEDICAL CAMPUS DR, BURNSVILLE, NC, 28714-9010 United States | BURNSVILLE, NC | 828-213-1740 |
6 BROOKLET ST, ASHEVILLE, NC, 28801-4505 United States | ASHEVILLE, NC | 828-213-1740 |
563 W MAIN ST, SYLVA, NC, 28779-5550 United States | SYLVA, NC | 828-213-1740 |
5623 US 221 S, MARION, NC, 28752-7028 United States | MARION, NC | 828-213-1740 |
56 MEDICAL PARK DR STE 203, FRANKLIN, NC, 28734-2634 United States | FRANKLIN, NC | 828-213-1740 |
56 MEDICAL PARK DR, FRANKLIN, NC, 28734-2632 United States | FRANKLIN, NC | 828-213-1740 |
509 BILTMORE AVE, ASHEVILLE, NC, 28801-4601 United States | ASHEVILLE, NC | 828-213-1740 |
5 MEDICAL PARK DR, ASHEVILLE, NC, 28803-2493 United States | ASHEVILLE, NC | 828-213-1740 |
472 RANKIN DR, MARION, NC, 28752-6568 United States | MARION, NC | 828-213-1740 |
470 CENTER ST STE 200, BRYSON CITY, NC, 28713-7752 United States | BRYSON CITY, NC | 828-213-1740 |
387 US 70 W, MARION, NC, 28752-6202 United States | MARION, NC | 828-213-1740 |
Mailing Address : | Po Box 603366 Charlotte, NC, 28260-2373 United States |
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Fax Number : | 828-681-1575 |