Healthcare Provider Details

I. General information

NPI: 1275697047
Provider Name (Legal Business Name): MOUNTAIN VIEW PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98A COPE CREEK ROAD
SYLVA NC
28779
US

IV. Provider business mailing address

98A COPE CREEK ROAD
SYLVA NC
28779
US

V. Phone/Fax

Practice location:
  • Phone: 828-586-7925
  • Fax: 828-586-7926
Mailing address:
  • Phone: 828-586-7925
  • Fax: 828-586-7926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNC

VIII. Authorized Official

Name: STEVEN R BLACK
Title or Position: OWNER
Credential: MD
Phone: 828-586-7925