Organization
ASCEND HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE DAUGHERTY JONES (CREDENTIALING ADMINISTRATOR)
(704) 962-2785
Entity
Organization
Contact information
Practice address
10831 PINEVILLE RD STE 9, PINEVILLE, NC 28134-8137
(980) 579-4889
(980) 422-0133
Mailing address
10831 PINEVILLE RD STE 9, PINEVILLE, NC 28134-8137
(704) 962-2785
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00575701
—
NC
Enumeration date
02/08/2019
Last updated
06/30/2021
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