Provider Demographics
NPI:1326138389
Name:WNC OB/GYN & FAMILY PRACTICE, P. A.
Entity Type:Organization
Organization Name:WNC OB/GYN & FAMILY PRACTICE, P. A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:GIBBES
Authorized Official - Last Name:EVINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-255-8900
Mailing Address - Street 1:16 MCDOWELL ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4104
Mailing Address - Country:US
Mailing Address - Phone:828-255-8900
Mailing Address - Fax:828-251-5240
Practice Address - Street 1:16 MCDOWELL ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4104
Practice Address - Country:US
Practice Address - Phone:828-255-8900
Practice Address - Fax:828-251-5240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center