Provider Demographics
NPI:1063181873
Name:ASHEVILLE NEUROLOGY SPECIALISTS, PA
Entity type:Organization
Organization Name:ASHEVILLE NEUROLOGY SPECIALISTS, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CHAMBERLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-210-9300
Mailing Address - Street 1:731 DOGWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-0366
Mailing Address - Country:US
Mailing Address - Phone:828-210-9300
Mailing Address - Fax:828-210-9319
Practice Address - Street 1:731 DOGWOOD RD STE 101
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-0366
Practice Address - Country:US
Practice Address - Phone:828-463-3450
Practice Address - Fax:828-276-7307
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASHEVILLE NEUROLOGY SPECIALISTS, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-09-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC14918OtherNC BOARD OF PHARMACY