Organization
TABLE ROCK ANESTHESIOLOGY SERVICES P L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R FINE MD (PRESIDENT)
(828) 580-5000
Entity
Organization
Contact information
Practice address
2201 S STERLING ST, MORGANTON, NC 28655-4044
(828) 580-5000
Mailing address
2201 S STERLING ST, MORGANTON, NC 28655-4044
(828) 580-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014Y6
BLUE SHIELD
NC
05
—
89014Y6
—
NC
01
—
DB2223
RR MEDICARE
NC
Enumeration date
09/30/2006
Last updated
07/09/2008
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