Healthcare Provider Details
I. General information
NPI: 1609028059
Provider Name (Legal Business Name): CAROLINA SPINE&NEUROSURGICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/16/2008
Last Update Date: 10/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7 VANDERBILT PARK DR
ASHEVILLE NC
28803-1700
US
IV. Provider business mailing address
7 VANDERBILT PARK DR
ASHEVILLE NC
28803-1700
US
V. Phone/Fax
- Phone: 828-255-7776
- Fax: 828-255-8794
- Phone: 828-255-7776
- Fax: 828-255-8794
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207XS0117X |
| Taxonomy | Orthopaedic Surgery of the Spine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207T00000X |
| Taxonomy | Neurological Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JON
SILVER
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 828-255-7776