Healthcare Provider Details

I. General information

NPI: 1912963992
Provider Name (Legal Business Name): LEIGH ANNE SCHWIETZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 11/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 MCDOWELL ST
ASHEVILLE NC
28801-4104
US

IV. Provider business mailing address

PO BOX 2445
SKYLAND NC
28776-2445
US

V. Phone/Fax

Practice location:
  • Phone: 828-255-3749
  • Fax: 828-254-9925
Mailing address:
  • Phone: 828-575-2644
  • Fax: 828-350-2174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number200301166
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: