Organization
MEDICAL ASSOCIATES OF TRANSYLVANIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRIE M MCDONALD (ADMINISTRATOR)
(828) 862-6218
Entity
Organization
Contact information
Practice address
377 GALLIMORE RD, BREVARD, NC 28712-8874
(828) 884-9030
(828) 877-5054
Mailing address
377 GALLIMORE RD, BREVARD, NC 28712-8874
(828) 884-9030
(828) 877-5054
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108R
BLUE CROSS BLUE SHIELD
NC
01
—
0637660001
PALMETTO GOVERNMENT SERVI
NC
05
—
890108R
—
NC
01
—
CC5045
RAILROAD MEDICARE
NC
Enumeration date
09/29/2006
Last updated
06/02/2008
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