Healthcare Provider Details

I. General information

NPI: 1275589434
Provider Name (Legal Business Name): RICHARD DALE CULPEPPER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 02/04/2020
Certification Date: 02/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 VICTORIA RD
ASHEVILLE NC
28801-4811
US

IV. Provider business mailing address

111 VICTORIA RD
ASHEVILLE NC
28801-4811
US

V. Phone/Fax

Practice location:
  • Phone: 828-252-7331
  • Fax: 828-253-1123
Mailing address:
  • Phone: 828-252-7331
  • Fax: 828-253-1123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number2018-01334
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number16330
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: