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90 Southside Ave Suite 300 Asheville NC 28801-4160 | |
| (828) 277-4810 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 90 Southside Ave, Asheville, North Carolina |
| Authorized Official Name and Position | Robin Gleeson-warren (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 8282774810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 890291 Charlotte NC 28289-0291 Ph: () - | 90 Southside Ave Suite 300 Asheville NC 28801-4160 Ph: (828) 277-4810 |
| NPI Number | 1104823087 |
|---|---|
| Provider Enumeration Date | 07/07/2005 |
| Last Update Date | 04/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104823087 | NPI | - | NPPES |
| 011JK | Other | NC | BCBSNC |
| 89011JK | Medicaid | NC | |
| 56162 | Other | NC | MEDCOST |
| CG9205 | Other | NC | RAILROAD MEDICARE |
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