Organization
BREVARD ORTHOPAEDICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY J GOOD (OFFICE MANAGER)
(828) 884-2055
Entity
Organization
Contact information
Practice address
316 CHESTNUT ST, STE. 2, BREVARD, NC 28712-3010
(828) 884-2055
(828) 884-2834
Mailing address
316 CHESTNUT ST, STE. 2, BREVARD, NC 28712-3010
(828) 884-2055
(828) 884-2834
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016T3
BCBS OF NC GROUP NUMBER
NC
05
—
89016T3
—
NC
Enumeration date
06/20/2005
Last updated
08/22/2020
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