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Organization
SYLVA MEDICAL CENTER PA
Active
Organization
SYLVA MEDICAL CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL P PROVOST M.D. (PRESIDENT)
(828) 586-8971
Entity
Organization
Contact information
Practice address
293 HOSPITAL RD, SYLVA, NC 28779-5195
(828) 586-8971
Mailing address
PO BOX 1045, SYLVA, NC 28779-1045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7902776
—
NC
Enumeration date
09/25/2006
Last updated
08/04/2009
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