Healthcare Provider Details

I. General information

NPI: 1306941000
Provider Name (Legal Business Name): ELIZABETH GRACE KORB CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 HENDERSONVILLE RD
ASHEVILLE NC
28803-2868
US

IV. Provider business mailing address

119 HENDERSONVILLE RD
ASHEVILLE NC
28803-2868
US

V. Phone/Fax

Practice location:
  • Phone: 828-771-5500
  • Fax: 828-771-5454
Mailing address:
  • Phone: 828-771-5500
  • Fax: 828-771-5454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberCNM016
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: