Provider Demographics
NPI:1891754156
Name:POSSINGER, CLIVE FRANCIS (MD)
Entity type:Individual
Prefix:
First Name:CLIVE
Middle Name:FRANCIS
Last Name:POSSINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1881 PISGAH DR
Mailing Address - Street 2:BLDG A
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3760
Mailing Address - Country:US
Mailing Address - Phone:828-697-4336
Mailing Address - Fax:828-694-6757
Practice Address - Street 1:1881 PISGAH DR
Practice Address - Street 2:BLDG A
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3760
Practice Address - Country:US
Practice Address - Phone:828-697-4336
Practice Address - Fax:828-694-6757
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2013-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18980207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
110077676OtherRAILROAD MEDICARE B
NC68515OtherBCBS
NC8968515Medicaid
209668BMedicare PIN
110077676OtherRAILROAD MEDICARE B