Healthcare Provider Details

I. General information

NPI: 1326286519
Provider Name (Legal Business Name): ANGEL MEDICAL CENTER,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2009
Last Update Date: 05/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 MEDICAL PARK DR
FRANKLIN NC
28734-2632
US

IV. Provider business mailing address

120 RIVERVIEW ST
FRANKLIN NC
28734-2612
US

V. Phone/Fax

Practice location:
  • Phone: 828-349-8280
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: TRACY W GIHL
Title or Position: CFO
Credential:
Phone: 828-369-4220