Organization
MOUNTAIN REGIONAL ANESTHESIA PLLC
Active
Organization
MOUNTAIN REGIONAL ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP STACK MD (MEMBER MANAGER)
(828) 586-9200
Entity
Organization
Contact information
Practice address
197 RIVERVIEW ST, FRANKLIN, NC 28734-2611
(828) 349-3636
Mailing address
6135 PARK SOUTH DR STE 510, CHARLOTTE, NC 28210-0100
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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