Provider Demographics
NPI:1851377501
Name:BARTOW, ANNA LOUISE (MD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:LOUISE
Last Name:BARTOW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 OAKLAND RD STE 300
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4821
Mailing Address - Country:US
Mailing Address - Phone:828-477-4077
Mailing Address - Fax:828-774-5952
Practice Address - Street 1:41 OAKLAND RD STE 300
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4821
Practice Address - Country:US
Practice Address - Phone:828-774-6866
Practice Address - Fax:828-774-5952
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200500409207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5902334Medicaid
NC1403TOtherBCBS
NC1403TOtherBLUE CROSS BLUE SHIELD
NC2042178Medicare PIN
NC5902334Medicaid