Healthcare Provider Details

I. General information

NPI: 1356791495
Provider Name (Legal Business Name): AARON PATZWAHL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2016
Last Update Date: 01/23/2024
Certification Date: 01/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1824 PISGAH DR
HENDERSONVILLE NC
28791-3759
US

IV. Provider business mailing address

1824 PISGAH DR
HENDERSONVILLE NC
28791-3759
US

V. Phone/Fax

Practice location:
  • Phone: 828-694-8427
  • Fax: 828-694-8428
Mailing address:
  • Phone: 828-694-8427
  • Fax: 828-694-8428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2023-03093
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number30328
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: