Provider Demographics
NPI:1437544673
Name:ASHEVILLE GYNECOLOGY & WELLNESS PLLC
Entity Type:Organization
Organization Name:ASHEVILLE GYNECOLOGY & WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICKY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:828-585-6655
Mailing Address - Street 1:11 CRISPIN CT STE E106
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-8207
Mailing Address - Country:US
Mailing Address - Phone:828-585-6655
Mailing Address - Fax:828-585-6656
Practice Address - Street 1:11 CRISPIN CT STE E106
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-8207
Practice Address - Country:US
Practice Address - Phone:828-585-6655
Practice Address - Fax:828-585-6656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-04
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCF52397Medicare UPIN