Organization
SYLVA WOMEN'S CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWANG SOO HAN MD (PRESIDENT)
(828) 586-4096
Entity
Organization
Contact information
Practice address
111 CENTRAL ST, SYLVA, NY 28779
(828) 586-4096
(828) 586-1064
Mailing address
111 CENTRAL ST, SYLVA, NY 28779
(828) 586-4096
(828) 586-1064
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016AV
BCBS
NC
05
—
89016AV
—
NC
Enumeration date
05/17/2006
Last updated
08/22/2020
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