Healthcare Provider Details

I. General information

NPI: 1235208976
Provider Name (Legal Business Name): JUSTIN A TOWLE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 11/17/2020
Certification Date: 11/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 HOSPITAL DR SUITE 4A
HENDERSONVILLE NC
28792-5248
US

IV. Provider business mailing address

PO BOX 1869
FLETCHER NC
28732-1869
US

V. Phone/Fax

Practice location:
  • Phone: 828-650-8077
  • Fax: 828-651-0194
Mailing address:
  • Phone: 828-687-5616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2009-01220
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: