Organization
ASHEBORO PSYCHIATRIC SERVICES PLLC
Active
Other names
Asheboro Psychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
SWARUPARANI V GULLAPALLI MD (OWNER)
(336) 626-9139
Entity
Organization
Contact information
Practice address
723 SOUTH COX STREET, ASHEBORO, NC 27203-4725
(336) 626-9139
(336) 683-8256
Mailing address
723 SOUTH COX STREET, ASHEBORO, NC 27203-4725
(336) 626-9139
(336) 683-8256
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
NC
2084P0800X
Psychiatry Physician
Primary
200401064
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140HW
BCBS OF NORTH CAROLINA
NC
Enumeration date
02/27/2007
Last updated
05/02/2013
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