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Organization

TRANSYLVANIA PHYSICIAN SERVICES, INC.

Active
Parent organization
TRANSYLVANIA PHYSICIAN SERVICES, INC.
Other names
Pisgah Surgical Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
TRANSYLVANIA PHYSICIAN SERVICES, INC.
Authorized official
RHONDA A MILLER (CHIEF REVENUE OFFICER)
(828) 651-4144
Entity
Organization

Contact information

Practice address
89 HOSPITAL DR STE A, BREVARD, NC 28712-4838
(828) 862-6368
(828) 885-5742
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
(828) 213-1500
(828) 651-6570

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
NC
208600000X
Surgery Physician
Primary
NC
2086S0102X
Surgical Critical Care Physician
NC
2086S0120X
Pediatric Surgery Physician
NC
2086S0129X
Vascular Surgery Physician
NC
2086X0206X
Surgical Oncology Physician
NC
208C00000X
Colon & Rectal Surgery Physician
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020PY
BCBS
NC
01
1193681
GATEWAY HEALTH PLAN
NC
01
2964651
UNITED HEALTHCARE
NC
Enumeration date
07/18/2008
Last updated
04/28/2018
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