Individual
MR. DONALD K WETMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
50 HOSPITAL DR, STE 3B, HENDERSONVILLE, NC 28792-5245
(828) 684-2234
(828) 684-6693
Mailing address
50 HOSPITAL DR, STE 3B, HENDERSONVILLE, NC 28792-5245
(828) 684-2234
(828) 684-6693
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
100301
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0227U
BCBS NC GROUP ID #
NC
01
—
12664
BCBS NC INDIVIDUAL ID
NC
01
—
582333928
TAX ID USED BY INS COS
NC
05
—
890227U
—
NC
05
—
8912664
—
NC
05
—
NPA709
—
SC
Enumeration date
06/01/2005
Last updated
08/10/2007
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