Healthcare Provider Details

I. General information

NPI: 1477520989
Provider Name (Legal Business Name): WESTERN CAROLINA WOMENS SPECIALTY CENTER PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 05/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 RIDGEFIELD CT SUITE B
ASHEVILLE NC
28806-2207
US

IV. Provider business mailing address

100 RIDGEFIELD CT SUITE B
ASHEVILLE NC
28806-2207
US

V. Phone/Fax

Practice location:
  • Phone: 828-670-5665
  • Fax: 828-670-5663
Mailing address:
  • Phone: 828-670-5665
  • Fax: 828-670-5663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. EVELYN M LYLES
Title or Position: MD
Credential: MD
Phone: 828-670-5665