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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
Pain Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC
Authorized official
CAROL HILL (PROVIDER ENROLLMENT SPECIALIST)
(828) 651-6579
Entity
Organization
Contact information
Practice address
89 HOSPITAL DR STE C, BREVARD, NC 28712-4838
(828) 213-1740
Mailing address
PO BOX 603366, CHARLOTTE, NC 28260-3366
(828) 681-1575
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02CG9
BCBS
NC
Enumeration date
11/29/2018
Last updated
11/30/2018
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