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Organization

MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC

Active
Parent organization
MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC
Other names
Neurology
Organization subpart
Yes

Provider details

NPI number
Legal business name
MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC
Authorized official
CAROL HILL (PROVIDER ENROLLMENT SPECIALIST)
(828) 651-6579
Entity
Organization

Contact information

Practice address
890 HENDERSONVILLE RD STE 200, ASHEVILLE, NC 28803-2997
(828) 213-1740
Mailing address
PO BOX 603366, CHARLOTTE, NC 28260-3366
(828) 681-1575

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
2084N0600X
Clinical Neurophysiology Physician
2084P0005X
Neurodevelopmental Disabilities Physician
2084P0015X
Psychosomatic Medicine Physician
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
2084S0010X
Sports Medicine (Psychiatry & Neurology) Physician
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
2084V0102X
Vascular Neurology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02CG9
BCBS
NC
Enumeration date
11/30/2018
Last updated
11/30/2018
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