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Organization

CANCER CARE OF WNC, PA

Active
Parent organization
CANCER CARE OF WNC, PA
Other names
Cancer Care of WNC, PA at Brevard
Organization subpart
Yes

Provider details

NPI number
Legal business name
CANCER CARE OF WNC, PA
Authorized official
MS. MARGARET V. BEAZLEY (ADMINISTRATOR)
(828) 253-4262
Entity
Organization

Contact information

Practice address
70 NEELY ROAD, BREVARD, NC 28712-4267
(828) 883-3987
(828) 884-8801
Mailing address
21 HOSPITAL DR, 4TH FLOOR, ASHEVILLE, NC 28801-4550
(828) 253-4262
(828) 418-0926

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
207RX0202X
Medical Oncology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02548
BLUE CROSS BLUE SHIELD NC
NC
01
34D0860245
CLIA
NC
05
5906801
NC
Enumeration date
06/06/2006
Last updated
06/21/2018
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