Individual
JAMES P THEOFRASTOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 RIDGEFIELD BLVD, ASHEVILLE, NC 28806-2343
(828) 670-5665
(828) 670-5663
Mailing address
2100 RIDGEFIELD BLVD, ASHEVILLE, NC 28806-2343
(828) 670-5665
(828) 670-5663
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
93-00391
NC
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
93-00391
NC
207VG0400X
Gynecology Physician
9300391
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0770757
UNITED HEALTHCARE
—
01
—
82474
BC BS NC
—
05
—
8982474
—
NC
Enumeration date
02/13/2006
Last updated
02/10/2022
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