Individual
JORJETA D TAHTAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 DOCTORS DR, SUITE 2, HENDERSONVILLE, NC 28792-7209
(828) 684-2587
(828) 651-8344
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 687-5616
(828) 650-8076
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200801391
NC
207R00000X
Internal Medicine Physician
216192
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18317
BCBSNC
NC
01
—
696898
HARVARD PILGRIM
MA
01
—
J26039
BLUE CROSS
MA
01
—
P01320169
MEDICARE RR
NC
Enumeration date
04/05/2006
Last updated
12/06/2016
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