Provider Demographics
NPI:1437771193
Name:ASHEVILLE DERMATOLOGY PROFESSIONALS, PC
Entity Type:Organization
Organization Name:ASHEVILLE DERMATOLOGY PROFESSIONALS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:HIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:828-222-7022
Mailing Address - Street 1:18 MERRIWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-9621
Mailing Address - Country:US
Mailing Address - Phone:828-654-0101
Mailing Address - Fax:
Practice Address - Street 1:900 HENDERSONVILLE RD STE 107
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1763
Practice Address - Country:US
Practice Address - Phone:828-222-7022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-15
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty