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NPI Code Detail

MEDICARE: MOUNTAIN CREEK MEDICAL

MEDICARE: MOUNTAIN CREEK MEDICAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093787608
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOUNTAIN CREEK MEDICAL
Provider Business Mailing Address
First Line : 430 FISHER CREEK RD
Second Line :
City : SYLVA
State : NC
Zip : 28779-7700
Country : US
Telephone Number : 828-586-4012
Fax Number : 828-586-5162
Provider Business Practice Location Address
First Line : 430 FISHER CREEK RD
Second Line :
City : SYLVA
State : NC
Zip : 28779-7700
Country : US
Telephone Number : 828-586-4012
Fax Number : 828-586-5162
Authorized Official
Title or Position : PHYSICIAN
Name : DANIEL MACKEY
Credential : MD
Telephone Number : 828-586-4012
Provider Enumeration Date : 02/07/2006
Last Update Date : 06/03/2026

Similar Medicare Providers

1770947004 — DR. KIMBERLY ALEXIS STILLWACHS M.D.
Practice Location Address:
430 FISHER CREEK RD
SYLVA, NC
28779-7700
Practice Phone: 828-586-4012
Practice Fax: 828-586-5162
1013996362 — DANIEL J MACKEY MD
Practice Location Address:
430 FISHER CREEK RD
SYLVA, NC
28779-7700
Practice Phone: 828-586-4012
Practice Fax: 828-586-5162
1720050354 — MS. KATHARINE K CAMPBELL P.A.
Practice Location Address:
430 FISHER CREEK RD
SYLVA, NC
28779-7700
Practice Phone: 828-586-4012
Practice Fax: 828-586-5162
1235101858 — DR. ROY P GALLINGER M.D.
Practice Location Address:
430 FISHER CREEK RD
SYLVA, NC
28779-7700
Practice Phone: 828-586-4012
Practice Fax: 828-586-5162
1063469088 — DR. JESSICA K ANGE MD
Practice Location Address:
430 FISHER CREEK RD
SYLVA, NC
28779-7700
Practice Phone: 828-586-4012
Practice Fax: 828-586-5162
1588949242 — MRS. BESAN H NASH RN, FNP
Practice Location Address:
430 FISHER CREEK RD
SYLVA, NC
28779-7700
Practice Phone: 828-586-4012
Practice Fax: 828-586-5162

Directions to “MOUNTAIN CREEK MEDICAL ” Practice Location

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