Organization
HAYWOOD WOMEN'S MEDICAL CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER H LANE MD (PRESIDENT)
(828) 452-5042
Entity
Organization
Contact information
Practice address
35 FACILITY DR, CLYDE, NC 28721-9438
(828) 452-5042
(828) 452-9225
Mailing address
PO BOX 279, CLYDE, NC 28721-0279
(828) 452-5042
(828) 452-9225
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
41016
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0170F
BLUE CROSS BLUE SHIELD
NC
05
—
890170F
—
NC
Enumeration date
12/15/2005
Last updated
08/22/2020
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