Organization
MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS JOSEPH (VP)
(615) 373-7630
Entity
Organization
Contact information
Practice address
509 BILTMORE AVE, ASHEVILLE, NC 28801-4601
(828) 213-2250
(828) 213-2395
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 372-3375
(828) 651-6561
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NC
207LP3000X
Pediatric Anesthesiology Physician
—
NC
367500000X
Certified Registered Nurse Anesthetist
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457719130
—
NC
Enumeration date
02/09/2016
Last updated
01/02/2023
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