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Organization

ASHEVILLE FAMILY MEDICINE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEVIN B TREAKLE M.D. (PHYCISIAN)
(828) 252-8885
Entity
Organization

Contact information

Practice address
41 OAKLAND RD, SUITE 300, ASHEVILLE, NC 28801-4820
(828) 252-8885
(828) 252-9420
Mailing address
41 OAKLAND RD, SUITE 300, ASHEVILLE, NC 28801-4820
(828) 252-8885
(828) 252-9420

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01063
BLUE CROSS BLUE SHIELD
NC
05
7901063
NC
Enumeration date
09/12/2005
Last updated
07/16/2007
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