Healthcare Provider Details

I. General information

NPI: 1306263496
Provider Name (Legal Business Name): DLP RUTHERFORD REGIONAL HEALTH SYSTEM, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2014
Last Update Date: 05/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 COMMERCIAL ST SUITE B
FOREST CITY NC
28043-2849
US

IV. Provider business mailing address

330 SEVEN SPRINGS WAY
BRENTWOOD TN
37027-4536
US

V. Phone/Fax

Practice location:
  • Phone: 828-287-9325
  • Fax: 828-287-3594
Mailing address:
  • Phone: 615-820-7000
  • Fax: 615-920-8913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: VICTOR E. GIOVANETTI
Title or Position: PRESIDENT
Credential:
Phone: 615-920-7000