Organization
FIFTH AVENUE INTERNAL MEDICINE AND GERIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP M KLEIN (OFFICE MANAGER)
(828) 693-6566
Entity
Organization
Contact information
Practice address
724 FIFTH AVENUE WEST, HENDERSONVILLE, NC 28739
(828) 693-6566
(828) 693-6765
Mailing address
724 FIFTH AVENUE WEST, HENDERSONVILLE, NC 28739
(828) 693-6566
(828) 693-6765
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
103068
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8941202
—
NC
Enumeration date
09/29/2006
Last updated
08/22/2020
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