Healthcare Provider Details

I. General information

NPI: 1184776155
Provider Name (Legal Business Name): NEAL H GUFFEY JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 06/08/2023
Certification Date: 06/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

158 CHESTNUT GROVE CHURCH RD
SPARTA NC
28675-9731
US

IV. Provider business mailing address

15 YORKSHIRE ST SUITE 201
ASHEVILLE NC
28803-7783
US

V. Phone/Fax

Practice location:
  • Phone: 800-765-7130
  • Fax:
Mailing address:
  • Phone: 828-274-1600
  • Fax: 828-274-1603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number9500489
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number9500489
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: