Provider Demographics
NPI:1154651099
Name:DERMATOLOGY OF NORTH ASHEVILLE PA
Entity Type:Organization
Organization Name:DERMATOLOGY OF NORTH ASHEVILLE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:HUTCHIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-398-8899
Mailing Address - Street 1:209 E CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2401
Mailing Address - Country:US
Mailing Address - Phone:828-253-2533
Mailing Address - Fax:828-253-2536
Practice Address - Street 1:209 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2401
Practice Address - Country:US
Practice Address - Phone:828-253-2533
Practice Address - Fax:828-253-2536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-27
Last Update Date:2009-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2007-00984207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty