Organization
MOUNTAIN COMMUNITY CHIROPRACTIC AND HEALTH ARTS CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY GOLDWASSER D.O. (OWNER)
(828) 586-1043
Entity
Organization
Contact information
Practice address
256 MARSH LILY DR, SYLVA, NC 28779-9477
(828) 586-1043
Mailing address
256 MARSH LILY DR, SYLVA, NC 28779-9477
(828) 586-1043
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
2602
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2454163B
MEDICARE PROVIDER NUMBER
NC
Enumeration date
04/03/2012
Last updated
04/05/2012
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