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Organization
MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC
Active
Organization
MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC
Active
Parent organization
MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC
Other names
Registered Dietician
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC
Authorized official
MARILYN TATHAM DO (PROVIDER ENROLLMENT MANAGER)
(828) 651-6595
Entity
Organization
Contact information
Practice address
1 HOSPITAL DR STE 3400, ASHEVILLE, NC 28801-4550
(828) 213-1740
Mailing address
PO BOX 603366, CHARLOTTE, NC 28260-3366
(828) 213-1500
(828) 681-1575
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02CG9
BC/BS NC
NC
Enumeration date
11/30/2018
Last updated
11/30/2018
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