Healthcare Provider Details

I. General information

NPI: 1063482107
Provider Name (Legal Business Name): PIEDMONT HENDERSONVILLE ANESTHESIA CONSULTANTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N JUSTICE ST ANESTHESIA DEPT
HENDERSONVILLE NC
28791-3410
US

IV. Provider business mailing address

PO BOX 75220
CHARLOTTE NC
28275-0220
US

V. Phone/Fax

Practice location:
  • Phone: 828-696-1000
  • Fax:
Mailing address:
  • Phone: 828-697-4330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number StateNC

VIII. Authorized Official

Name: ROLAND M ZAHN
Title or Position: PRESIDENT
Credential:
Phone: 828-697-4330