| Carolina Mountain Psychiatry Pa | |
|
3 Carson Creek Dr Asheville NC 28803 | |
| (828) 274-6622 | |
| (828) 274-7382 |
| Full Name | Carolina Mountain Psychiatry Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 3 Carson Creek Dr, Asheville, North Carolina |
| Authorized Official Name and Position | Gerald W Travis (PSYCHIATRIST) |
| Authorized Official Contact | 8282746622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Mountain Psychiatry Pa 3 Carson Creek Dr Asheville NC 28803 Ph: (828) 274-6622 | Carolina Mountain Psychiatry Pa 3 Carson Creek Dr Asheville NC 28803 Ph: (828) 274-6622 |
| NPI Number | 1083641450 |
|---|---|
| Provider Enumeration Date | 06/28/2006 |
| Last Update Date | 10/22/2015 |
| Medicare PECOS PAC ID | 4587631676 |
|---|---|
| Medicare Enrollment ID | O20040916001136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083641450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Gerald W Travis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487667150 PECOS PAC ID: 3375510464 Enrollment ID: I20140203001679 |
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