Organization
FAMILY CARE OF FAIRVIEW, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY HOLT WRIGHT (PRACTICE MANAGER)
(828) 296-0880
Entity
Organization
Contact information
Practice address
136 CHARLOTTE HWY, ASHEVILLE, NC 28803-9673
(828) 296-0880
(828) 296-0855
Mailing address
136 CHARLOTTE HWY, ASHEVILLE, NC 28803-9673
(828) 296-0880
(828) 296-0855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
105482
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012TA
BCBS
NC
05
—
89012TA
—
NC
Enumeration date
09/26/2006
Last updated
11/30/2007
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