Provider Demographics
NPI:1972663623
Name:HIND, ANGELA CALLAWAY (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:CALLAWAY
Last Name:HIND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:959 MERRIMON AVE
Mailing Address - Street 2:#202B
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-2353
Mailing Address - Country:US
Mailing Address - Phone:828-225-6552
Mailing Address - Fax:828-225-6554
Practice Address - Street 1:959 MERRIMON AVE
Practice Address - Street 2:#202B
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-2353
Practice Address - Country:US
Practice Address - Phone:828-225-6552
Practice Address - Fax:828-225-6554
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC34626207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC42481OtherBCBS
NC8942481Medicaid
NC42481OtherBCBS
NC2280090AMedicare PIN