Healthcare Provider Details

I. General information

NPI: 1407834393
Provider Name (Legal Business Name): DR. DAVID FREDERICK MACKEL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 08/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1027 FLEMING ST
HENDERSONVILLE NC
28791
US

IV. Provider business mailing address

800 N JUSTICE ST # 16
HENDERSONVILLE NC
28791-3410
US

V. Phone/Fax

Practice location:
  • Phone: 828-692-5781
  • Fax: 828-696-8606
Mailing address:
  • Phone: 828-694-8385
  • Fax: 828-694-7654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number26562
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: