Organization
MOUNTAIN SPINE AND REHABILITATION SPECIALISTS PLLC
Active
Parent organization
MOUNTAIN NEUROSURGICAL & SPINE CENTER PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAIN NEUROSURGICAL & SPINE CENTER PA
Authorized official
MR. KEVIN F FLEMING CEO (CEO)
(828) 255-7776
Entity
Organization
Contact information
Practice address
7 VANDERBILT PARK DR, ASHEVILLE, NC 28803-1700
(828) 255-7776
(828) 274-7855
Mailing address
7 VANDERBILT PARK DR, ASHEVILLE, NC 28803-1700
(828) 255-7776
(828) 274-7855
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
134844
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018CM
BCBS NC PROVIDER #
NC
01
—
2322706
MEDICARE PTAN
NC
05
—
5903568
—
NC
Enumeration date
06/13/2006
Last updated
07/08/2009
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