Provider Demographics
NPI:1427431238
Name:WESTERN CAROLINA DIGESTIVE CONSULTANTS
Entity type:Organization
Organization Name:WESTERN CAROLINA DIGESTIVE CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TRACI
Authorized Official - Middle Name:
Authorized Official - Last Name:KNOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-349-3636
Mailing Address - Street 1:212 DOBSON MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-8444
Mailing Address - Country:US
Mailing Address - Phone:828-421-1509
Mailing Address - Fax:
Practice Address - Street 1:212 DOBSON MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-8444
Practice Address - Country:US
Practice Address - Phone:828-421-1509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC151526364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGroup - Multi-Specialty