Provider Demographics
NPI:1699878207
Name:ASHEVILLE INTERNAL MEDICINE, P.A.
Entity type:Organization
Organization Name:ASHEVILLE INTERNAL MEDICINE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:L
Authorized Official - Last Name:GLANCE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-253-4851
Mailing Address - Street 1:60 LIVINGSTON ST STE 200
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4400
Mailing Address - Country:US
Mailing Address - Phone:704-675-7279
Mailing Address - Fax:828-252-1969
Practice Address - Street 1:60 LIVINGSTON ST STE 200
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4400
Practice Address - Country:US
Practice Address - Phone:704-675-7279
Practice Address - Fax:828-252-1969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
7901670OtherCAROLINA ACC
36156OtherMEDCOST
200400722OtherNC STATE BOARD #
35744OtherBCBS
8935744OtherCAROLINA ACC
240137682OtherSS#
01760OtherCOMMERCIAL
437060227OtherSS#
1386610632OtherNPI#
1477529725OtherNPI #
32708OtherNC STATE BOARD #
010047893OtherMETRAHEALTH
0470538OtherUHC
GP CA2271OtherMETRAHEALTH
200400722OtherNC STATE BOARD #
010047893OtherMETRAHEALTH
8935744OtherCAROLINA ACC
36156OtherMEDCOST
H85821Medicare UPIN
GP2309862Medicare ID - Type Unspecified