Organization
HENDERSON COUNTY HOSPITAL CORPORATION
Active
Organization
HENDERSON COUNTY HOSPITAL CORPORATION
Active
Other names
Southeastern Sports Medicine and Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA BURLESON (CREDENTIALING)
(828) 694-8350
Entity
Organization
Contact information
Practice address
21 TURTLE CREEK DR, ASHEVILLE, NC 28803-3152
(828) 274-4555
Mailing address
21 TURTLE CREEK DR, ASHEVILLE, NC 28803-3152
(828) 274-4555
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F380
MEDICARE
NC
Enumeration date
10/13/2015
Last updated
04/21/2021
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