Organization
BLUE RIDGE PLASTIC SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM L OVERSTREET III MD (PRESIDENT MD)
(828) 697-3553
Entity
Organization
Contact information
Practice address
420 5TH AVE WEST, SUITE 300, HENDERSONVILLE, NC 28739
(828) 697-3553
(828) 697-5153
Mailing address
420 5TH AVE WEST, SUITE 300, HENDERSONVILLE, NC 28739
(828) 697-3553
(828) 697-5153
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013TE
BCBS
NC
05
—
89013TE
—
NC
Enumeration date
07/03/2006
Last updated
03/10/2008
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