# MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC
- **Other names:** Genetics
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568932879
- **Legal business name:** MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC
- **Authorized official:** CAROL HILL (PROVIDER ENROLLMENT SPECIALIST)
- **Authorized official phone:** (828) 651-6579

## Contact information

- **Practice address:** 11 VANDERBILT PARK DR, ASHEVILLE, NC 28803-1700
- **Practice address phone:** (828) 213-1740
- **Mailing address:** PO BOX 603366, CHARLOTTE, NC 28260-3366
- **Mailing address fax:** (828) 681-1575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 170100000X | Ph.D. Medical Genetics | — | NULL | Yes |
| 170100000X | Ph.D. Medical Genetics | — | — | Yes |
| 170300000X | Genetic Counselor (M.S.) | — | NULL | — |
| 170300000X | Genetic Counselor (M.S.) | — | — | — |
| 207SC0300X | Clinical Cytogenetics Physician | — | NULL | — |
| 207SC0300X | Clinical Cytogenetics Physician | — | — | — |
| 207SG0201X | Clinical Genetics (M.D.) Physician | — | NULL | — |
| 207SG0201X | Clinical Genetics (M.D.) Physician | — | — | — |
| 207SG0202X | Clinical Biochemical Genetics Physician | — | NULL | — |
| 207SG0202X | Clinical Biochemical Genetics Physician | — | — | — |
| 207SG0205X | Ph.D. Medical Genetics Physician | — | NULL | — |
| 207SG0205X | Ph.D. Medical Genetics Physician | — | — | — |
| 207SM0001X | Molecular Genetic Pathology (Medical Genetics) Physician | — | NULL | — |
| 207SM0001X | Molecular Genetic Pathology (Medical Genetics) Physician | — | — | — |

## Other

- **Enumeration date:** 11/29/2018
- **Last updated:** 11/29/2018