Healthcare Provider Details

I. General information

NPI: 1215981501
Provider Name (Legal Business Name): CARL CURTISS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 HOSPITAL DR SUITE 304
HIGHLANDS NC
28741-7623
US

IV. Provider business mailing address

209 HOSPITAL DR SUITE 304
HIGHLANDS NC
28741-7623
US

V. Phone/Fax

Practice location:
  • Phone: 828-787-2450
  • Fax: 828-526-1227
Mailing address:
  • Phone: 828-787-2450
  • Fax: 828-526-1227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number051758
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: