Provider Demographics
NPI:1326272824
Name:FOLKNER, BRIE MICHELE (MD)
Entity Type:Individual
Prefix:
First Name:BRIE
Middle Name:MICHELE
Last Name:FOLKNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BRIE
Other - Middle Name:MICHELE
Other - Last Name:MICHAEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:537 ALTAPASS HWY STE C
Mailing Address - Street 2:
Mailing Address - City:SPRUCE PINE
Mailing Address - State:NC
Mailing Address - Zip Code:28777-3002
Mailing Address - Country:US
Mailing Address - Phone:828-424-9088
Mailing Address - Fax:
Practice Address - Street 1:537 ALTAPASS HWY STE C
Practice Address - Street 2:
Practice Address - City:SPRUCE PINE
Practice Address - State:NC
Practice Address - Zip Code:28777
Practice Address - Country:US
Practice Address - Phone:828-424-9088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-12
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201101437207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCA564D818Medicare PIN