Provider Demographics
NPI:1972656262
Name:ASHEVILLE ENDOCRINOLOGY CONSULTANTS, PA
Entity Type:Organization
Organization Name:ASHEVILLE ENDOCRINOLOGY CONSULTANTS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:P
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-670-6812
Mailing Address - Street 1:750 ALLIANCE CT
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-2248
Mailing Address - Country:US
Mailing Address - Phone:828-670-6812
Mailing Address - Fax:828-670-5703
Practice Address - Street 1:750 ALLIANCE CT
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2248
Practice Address - Country:US
Practice Address - Phone:828-670-6812
Practice Address - Fax:828-670-5703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8901865Medicaid
NC8901865Medicaid