Organization
HENDERSONVILLE EMERGENCY CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CHARLES BOLEMAN MD (VICE-PRESIDENT)
(828) 473-0754
Entity
Organization
Contact information
Practice address
800 N JUSTICE ST, HENDERSONVILLE, NC 28791-3410
(800) 476-8646
(919) 382-3210
Mailing address
PO BOX 11807, COLUMBIA, SC 29211-1807
(800) 476-8646
(919) 382-3210
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9501180
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015WK
BCBS OF NC GROUP NUMBER
NC
05
—
89015WK
—
NC
Enumeration date
05/23/2005
Last updated
08/22/2020
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