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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