MEDICARE: CAROLINA SPINE & NEUROSURGERY CENTER PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician
2	207T00000X	Neurological Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013188267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINA SPINE & NEUROSURGERY CENTER PA

Provider Business Mailing Address
First Line	:	PO BOX 25370
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28813-1370
Country	:	US
Telephone Number	:	828-255-7776
Fax Number	:	828-274-5134

Provider Business Practice Location Address
First Line	:	26 WESTCARE DR
Second Line	:	SUITE 301
City	:	SYLVA
State	:	NC
Zip	:	28779-5290
Country	:	US
Telephone Number	:	828-586-7804
Fax Number	:	828-586-5283

Authorized Official
Title or Position	:	CEO
Name	:	KEVIN FLEMING
Credential	:
Telephone Number	:	828-255-7776

Provider Enumeration Date	:	03/17/2008
Last Update Date	:	12/07/2010

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Directions to “CAROLINA SPINE & NEUROSURGERY CENTER PA ” Practice Location

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