Healthcare Provider Details

I. General information

NPI: 1407257884
Provider Name (Legal Business Name): TODD SVITZER P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2014
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2695 HENDERSONVILLE RD STE 204
ARDEN NC
28704-8576
US

IV. Provider business mailing address

2695 HENDERSONVILLE RD STE 204
ARDEN NC
28704-8576
US

V. Phone/Fax

Practice location:
  • Phone: 828-687-8647
  • Fax: 828-684-6891
Mailing address:
  • Phone: 828-687-8647
  • Fax: 828-684-6891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-05779
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: