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Organization

WESTERN CAROLINA PULMONARY & CRITICAL CARE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WAVERLY SYDNOR GREEN III MD (PARTNER)
(828) 586-7794
Entity
Organization

Contact information

Practice address
186 MEDICAL PARK LOOP, SUITE 503, SYLVA, NC 28779-5222
(828) 586-7994
(828) 586-7340
Mailing address
186 MEDICAL PARK LOOP, SUITE 503, SYLVA, NC 28779-5222
(828) 586-7994
(828) 586-7340

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
015FW
BLUE CROSS
NC
05
89015FW
NC
Enumeration date
12/29/2005
Last updated
10/19/2007
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