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18 Wedgefield Dr Obot Room #100 Asheville NC 28806-2226 | |
| (828) 252-8748 | |
| (828) 252-9512 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 18 Wedgefield Dr, Asheville, North Carolina |
| Authorized Official Name and Position | Jay Higham (CEO) |
| Authorized Official Contact | 2143656112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
5001 Spring Valley Road Suite 600 East Dallas TX 75244-3946 Ph: (214) 365-6100 | 18 Wedgefield Dr Obot Room #100 Asheville NC 28806-2226 Ph: (828) 252-8748 |
| NPI Number | 1841900842 |
|---|---|
| Provider Enumeration Date | 11/30/2022 |
| Last Update Date | 12/23/2024 |
| Certification Date | 12/23/2024 |
| Medicare PECOS PAC ID | 8224485362 |
|---|---|
| Medicare Enrollment ID | O20231109003827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841900842 | NPI | - | NPPES |
| Provider Name | Melinda Ann Ramage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558695981 PECOS PAC ID: 2466621255 Enrollment ID: I20110812000004 |
| Provider Name | Tawana M Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578946950 PECOS PAC ID: 5092022368 Enrollment ID: I20150918000856 |
| Provider Name | Nathan Herman Mullins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578895447 PECOS PAC ID: 3072637784 Enrollment ID: I20151209002380 |
| Provider Name | Christina Camielle Bannow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497269872 PECOS PAC ID: 8729340229 Enrollment ID: I20180321001649 |
| Provider Name | Melanie L Mcduff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689700544 PECOS PAC ID: 5799015194 Enrollment ID: I20201110000457 |
| Provider Name | Sarah Jean Lipham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801348347 PECOS PAC ID: 5890076871 Enrollment ID: I20210123000022 |
| Provider Name | Stella Nkechinyem Okonkwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154072155 PECOS PAC ID: 3476921164 Enrollment ID: I20221130003415 |
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