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Organization
WESTERN CAROLINA FAMILY PRACTICE PA
Active
Organization
WESTERN CAROLINA FAMILY PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK CARLSON SPIES DO (PRESIDENT PHYSICIAN)
(828) 274-6610
Entity
Organization
Contact information
Practice address
1257 HENDERSONVILLE RD, ASHEVILLE, NC 28803-1916
(828) 274-6610
(828) 274-6670
Mailing address
1257 HENDERSONVILLE RD, ASHEVILLE, NC 28803-1916
(828) 274-6610
(828) 274-6670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9601484
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76916
BCBS
NC
05
—
8976916
—
NC
Enumeration date
12/22/2005
Last updated
05/10/2011
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