Individual
DEREK H DEPHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
64 PEACHTREE RD STE 100, ASHEVILLE, NC 28803-3121
(828) 277-3000
(828) 277-3636
Mailing address
64 PEACHTREE RD STE 100, ASHEVILLE, NC 28803-3121
(828) 277-3000
(828) 277-3636
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2001-00133
NC
208000000X
Pediatrics Physician
Primary
200100133
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001-00133
STATE LICENSE NUMBER
NC
05
—
89128JA
—
NC
Enumeration date
12/20/2005
Last updated
02/16/2026
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