Organization
AMSOL PHYSICIANS OF ELKIN NC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP W EICHENHOLZ MD (PRESIDENT)
(214) 687-0001
Entity
Organization
Contact information
Practice address
180 PARKWOOD DR, ELKIN, NC 28621-2430
(336) 527-7494
Mailing address
PO BOX 610191, DALLAS, TX 75261-0191
(239) 610-0775
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016ET
BLUE SHIELD
NC
05
—
89016ET
—
NC
Enumeration date
10/02/2006
Last updated
05/25/2021
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