Organization
HAYWOOD PEDIATRIC AND ADOLESCENT MEDICINE GROUP, P.A.
Active
Other names
Haywood Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS HENSON CMA (BUSINESS MANAGER)
(828) 452-2211
Entity
Organization
Contact information
Practice address
15 FACILITY DR, CLYDE, NC 28721-9438
(828) 452-2211
(828) 452-4421
Mailing address
15 FACILITY DR, CLYDE, NC 28721-9438
(828) 452-2211
(828) 452-4421
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01737
BCBS OF NC
NC
05
—
8901737
—
NC
Enumeration date
08/10/2005
Last updated
08/22/2020
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