Healthcare Provider Details

I. General information

NPI: 1235189119
Provider Name (Legal Business Name): DARILYN HEDDEN DEALY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 06/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 SWEETEN CREEK RD
ASHEVILLE NC
28803-2318
US

IV. Provider business mailing address

PO BOX 752005
CHARLOTTE NC
28275-2005
US

V. Phone/Fax

Practice location:
  • Phone: 828-255-0231
  • Fax: 828-255-2880
Mailing address:
  • Phone: 828-274-6190
  • Fax: 828-277-4808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number29101
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number29101
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: