Organization
PARK RIDGE CARDIOLOGY, PLLC
Active
Organization
PARK RIDGE CARDIOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROYCE K BAILEY MD (OWNER/MANAGER)
(828) 684-2234
Entity
Organization
Contact information
Practice address
50 HOSPITAL DR STE 3B, HENDERSONVILLE, NC 28792-5245
(828) 684-2234
(828) 684-6693
Mailing address
50 HOSPITAL DR STE 3B, HENDERSONVILLE, NC 28792-5245
(828) 684-2234
(828) 684-6693
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
34D0928163
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0227U
BLUE CROSS NC
NC
05
—
890227U
—
NC
Enumeration date
02/12/2009
Last updated
02/12/2009
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