Organization
TRANSYLVANIA PHYSICIAN SERVICES, INC.
Active
Parent organization
TRANSYLVANIA PHYSICIAN SERVICES, INC.
Other names
Pisgah Urology
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRANSYLVANIA PHYSICIAN SERVICES, INC.
Authorized official
RHONDA A MILLER (CHIEF REVENUE OFFICER)
(828) 651-4144
Entity
Organization
Contact information
Practice address
87 MEDICAL PARK DR STE A, BREVARD, NC 28712-3210
(828) 883-5858
(828) 884-3339
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
(828) 213-1500
(828) 651-6570
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1196190
GATEWAY HEALTH PLAN
NC
01
—
2966714
UNITED HEALTHCARE
NC
Enumeration date
04/04/2008
Last updated
04/28/2018
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