Individual
DR. BENEDETTO A IACOVELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 HOSPITAL DR, HENDERSONVILLE, NC 28792-5272
(877) 751-1157
Mailing address
3114 CROASDAILE DR, SUITE 200, DURHAM, NC 27705-2508
(919) 425-1565
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
98-01310
NC
207Q00000X
Family Medicine Physician
98-01310
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1207A
BCBS OF NC
—
05
—
891207A
—
NC
01
—
P00010556
RAILROAD
—
05
—
Q01313
—
SC
Enumeration date
06/05/2006
Last updated
01/05/2009
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