Healthcare Provider Details

I. General information

NPI: 1376690412
Provider Name (Legal Business Name): ASHEVILLE HEART PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 12/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

257 MCDOWELL ST
ASHEVILLE NC
28803-2606
US

IV. Provider business mailing address

257 MCDOWELL ST
ASHEVILLE NC
28803-2606
US

V. Phone/Fax

Practice location:
  • Phone: 828-258-1121
  • Fax: 828-252-6114
Mailing address:
  • Phone: 828-258-1121
  • Fax: 828-252-6114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. CATHY J WILES
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 828-258-1121