# MOUNTAIN COMMUNITY CHIROPRACTIC AND HEALTH ARTS CENTER PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326304429
- **Authorized official:** DR. JEFFREY GOLDWASSER D.O. (OWNER)
- **Authorized official phone:** (828) 586-1043

## Contact information

- **Practice address:** 256 MARSH LILY DR, SYLVA, NC 28779-9477
- **Practice address phone:** (828) 586-1043
- **Mailing address:** 256 MARSH LILY DR, SYLVA, NC 28779-9477
- **Mailing address phone:** (828) 586-1043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NI0900X | Internist Chiropractor | 2602 | NC | Yes |

## Other

- **Enumeration date:** 04/03/2012
- **Last updated:** 04/05/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2454163B | MEDICARE PROVIDER NUMBER | NC |