Organization
MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC
Active
Parent organization
MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC
Other names
Genetics
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC
Authorized official
CAROL HILL (PROVIDER ENROLLMENT SPECIALIST)
(828) 651-6579
Entity
Organization
Contact information
Practice address
11 VANDERBILT PARK DR, ASHEVILLE, NC 28803-1700
(828) 213-1740
Mailing address
PO BOX 603366, CHARLOTTE, NC 28260-3366
(828) 681-1575
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
—
—
170300000X
Genetic Counselor (M.S.)
—
—
207SC0300X
Clinical Cytogenetics Physician
—
—
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
207SG0202X
Clinical Biochemical Genetics Physician
—
—
207SG0205X
Ph.D. Medical Genetics Physician
—
—
207SM0001X
Molecular Genetic Pathology (Medical Genetics) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02CG9
BCBS
NC
Enumeration date
11/29/2018
Last updated
11/29/2018
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