Individual
DR. CAROL ANNE BORACK COPENHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
156 CROSSROADS DR, MILLS RIVER, NC 28759-5508
(828) 891-0060
(828) 891-1425
Mailing address
800 N JUSTICE ST, BOX 16, HENDERSONVILLE, NC 28791
(828) 694-8385
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2009-00967
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1646946
HIGHMARK PA BLUE SHIELD
PA
01
—
NNP232N787
MEDICARE PTAN
NC
01
—
P00322251
PALMETTO RR
PA
01
—
P01169433
RR MEDICARE
NC
Enumeration date
05/26/2006
Last updated
04/26/2023
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