Organization
WNC SPINE SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI C PATTERSON (BILLING MANAGER)
(828) 452-8346
Entity
Organization
Contact information
Practice address
262 LEROY GEORGE DR, SUITE M, CLYDE, NC 28721-7430
(828) 452-8378
(828) 452-8326
Mailing address
262 LEROY GEORGE DR, SUITE M, CLYDE, NC 28721-7430
(828) 452-8378
(828) 452-8326
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
200200143
NC
174400000X
Specialist
200600993
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132WC
BCBS OF NC GROUP NUMBER
NC
05
—
5950658
—
NC
Enumeration date
07/21/2006
Last updated
04/27/2009
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