Basic Information
Provider Information
NPI: 1417358359
EntityType: 2
ReplacementNPI:  
OrganizationName: ASHEVILLE WOMEN'S MEDICAL CENTER
LastName:  
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Mailing Information
Address1: 1501 YAMATO RD
Address2: SUITE 200 WEST
City: BOCA RATON
State: FL
PostalCode: 334314438
CountryCode: US
TelephoneNumber: 5613002410
FaxNumber: 5619534146
Practice Location
Address1: 143 ASHELAND AVE
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288014013
CountryCode: US
TelephoneNumber: 8282589191
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/10/2014
LastUpdateDate: 09/10/2014
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: GARRETT
AuthorizedOfficialFirstName: KATHRYN
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: DIRECTOR MANAGED CARE
AuthorizedOfficialTelephone: 5613002410
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: UWH OF NORTH CAROLINA LLP
AuthorizedOfficialNamePrefix: MS.
AuthorizedOfficialNameSuffix:  
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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