Healthcare Provider Details

I. General information

NPI: 1043519945
Provider Name (Legal Business Name): ASHEVILLE RADIOLOGY ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2011
Last Update Date: 03/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 COXE AVE SUITE 2A
ASHEVILLE NC
28801-4167
US

IV. Provider business mailing address

534 BILTMORE AVE
ASHEVILLE NC
28801-4612
US

V. Phone/Fax

Practice location:
  • Phone: 828-258-0554
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-02682
License Number StateNC

VIII. Authorized Official

Name: JOHN A. BRAZIL
Title or Position: CHIEF OPERATIONS OFFICER
Credential:
Phone: 828-213-0799