Healthcare Provider Details

I. General information

NPI: 1700825270
Provider Name (Legal Business Name): MICHAEL T REY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 07/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 WEDGEFIELD DR
ASHEVILLE NC
28806-2226
US

IV. Provider business mailing address

PO BOX 3282
ASHEVILLE NC
28802-3282
US

V. Phone/Fax

Practice location:
  • Phone: 828-252-8748
  • Fax: 828-252-9512
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number26358
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number26358
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number30731
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: