Organization
SYLVAN VALLEY OB/GYN, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMELO ABEL HERNANDEZ MD (SOLE PARTNER)
(828) 884-8860
Entity
Organization
Contact information
Practice address
1 MEDICAL PARK DR, SUITE B, BREVARD, NC 28712-3874
(828) 884-8860
(828) 885-7164
Mailing address
1 MEDICAL PARK DR, BREVARD, NC 28712-3874
(828) 884-8860
(828) 885-7164
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012PR
BLUE CROSS BLUE SHIELD
NC
05
—
89012PR
—
NC
Enumeration date
08/29/2007
Last updated
08/29/2007
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