Organization
BREVARD SURGICAL ASSOCIATES,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE A HOEKSTRA M.D. (PRESIDENT)
(828) 884-2198
Entity
Organization
Contact information
Practice address
120 S JOHNSON ST, BREVARD, NC 28712-3749
(828) 884-2198
(828) 862-5328
Mailing address
PO BOX 1689, ETOWAH, NC 28729-1689
(828) 884-2198
(828) 862-5328
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0175M
BCBS
NC
05
—
890175M
—
NC
Enumeration date
12/06/2005
Last updated
05/29/2009
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