Provider Demographics
NPI:1336108893
Name:RIVERS, CAROLE YVONNE (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLE
Middle Name:YVONNE
Last Name:RIVERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CAROLE
Other - Middle Name:WEATHERLY (MAIDEN)
Other - Last Name:RIVERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1100 TUNNEL RD
Mailing Address - Street 2:#116
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-2043
Mailing Address - Country:US
Mailing Address - Phone:828-299-2519
Mailing Address - Fax:828-299-5992
Practice Address - Street 1:1100 TUNNEL RD
Practice Address - Street 2:#116
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2043
Practice Address - Country:US
Practice Address - Phone:828-299-2519
Practice Address - Fax:828-299-5992
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC93005762084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry