Organization
ASHEVILLE INFECTIOUS DISEASE CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M COOPER (OFFICE MANAGER)
(828) 258-9635
Entity
Organization
Contact information
Practice address
53 S FRENCH BROAD AVE, SUITE 200, ASHEVILLE, NC 28801-3272
(828) 258-9635
(828) 258-9682
Mailing address
53 S FRENCH BROAD AVE, SUITE 200, ASHEVILLE, NC 28801-3272
(828) 258-9635
(828) 258-9682
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
39428
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01235
BCBS PROVIDER NUMBER
NC
05
—
8901235
—
NC
Enumeration date
01/04/2006
Last updated
07/28/2010
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