Provider Demographics
NPI:1316963879
Name:HALVORSON, ERIC G (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:G
Last Name:HALVORSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5 LIVINGSTON ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4407
Mailing Address - Country:US
Mailing Address - Phone:288-210-9347
Mailing Address - Fax:828-254-2423
Practice Address - Street 1:5 LIVINGSTON ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4407
Practice Address - Country:US
Practice Address - Phone:288-210-9347
Practice Address - Fax:828-254-2423
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2020-06-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA220941208200000X
NC2006007652086S0122X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery