# MEDICAL ASSOCIATES OF TRANSYLVANIA PA

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

## Provider details

- **NPI number:** 1790877306
- **Authorized official:** MRS. TERRIE M MCDONALD (ADMINISTRATOR)
- **Authorized official phone:** (828) 862-6218

## Contact information

- **Practice address:** 377 GALLIMORE RD, BREVARD, NC 28712-8874
- **Practice address phone:** (828) 884-9030
- **Practice address fax:** (828) 877-5054
- **Mailing address:** 377 GALLIMORE RD, BREVARD, NC 28712-8874
- **Mailing address phone:** (828) 884-9030
- **Mailing address fax:** (828) 877-5054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 06/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0108R | BLUE CROSS BLUE SHIELD | NC |
| 01 | — | 0637660001 | PALMETTO GOVERNMENT SERVI | NC |
| 05 | — | 890108R | — | NC |
| 01 | — | CC5045 | RAILROAD MEDICARE | NC |