Individual
PAUL E IACONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 HOSPITAL DRIVE, SUITE 5-D, HENDERSONVILLE, NC 28792-5247
(828) 684-1030
(828) 687-8229
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 687-6282
(828) 687-6285
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
9600576
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45040
BCBS
NC
05
—
8945040
—
NC
Enumeration date
10/18/2006
Last updated
10/11/2007
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