Organization
VICTORIA UROLOGICAL ASSOC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERI A CALLOWAY (A/R MANAGER)
(828) 254-8883
Entity
Organization
Contact information
Practice address
100 VICTORIA RD, ASHEVILLE, NC 28801-4812
(828) 254-8883
(828) 253-2024
Mailing address
100 VICTORIA RD, ASHEVILLE, NC 28801-4812
(828) 254-8883
(828) 253-2024
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017CW
BCBS STATE PROVIDER #
NC
01
—
02871
BCBS OF NC
NC
05
—
8902871
—
NC
Enumeration date
09/02/2005
Last updated
07/02/2009
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