Organization
MOUNTAIN NEUROSURGICAL & SPINE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH FLEMING (CEO)
(828) 225-7776
Entity
Organization
Contact information
Practice address
511 6TH AVE W, HENDERSONVILLE, NC 28739-3501
(828) 692-2099
(828) 692-2799
Mailing address
PO BOX 25370, ASHEVILLE, NC 28813-1370
(828) 255-7776
(828) 274-5134
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902748
—
NC
Enumeration date
03/17/2008
Last updated
03/17/2008
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