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NPI Code Detail

MEDICARE: ASHEBORO PSYCHIATRIC SERVICES PLLC

MEDICARE: ASHEBORO PSYCHIATRIC SERVICES PLLC
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
1174400000XSpecialistNC
22084P0800XPsychiatry Physician200401064NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1140HWOTHERNCBCBS OF NORTH CAROLINA

General Provider Information

NPI Number : 1790812584
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASHEBORO PSYCHIATRIC SERVICES PLLC
Provider Business Mailing Address
First Line : 723 SOUTH COX STREET
Second Line :
City : ASHEBORO
State : NC
Zip : 27203-4725
Country : US
Telephone Number : 336-626-9139
Fax Number : 336-683-8256
Provider Business Practice Location Address
First Line : 723 SOUTH COX STREET
Second Line :
City : ASHEBORO
State : NC
Zip : 27203-4725
Country : US
Telephone Number : 336-626-9139
Fax Number : 336-683-8256
Authorized Official
Title or Position : OWNER
Name : SWARUPARANI V GULLAPALLI
Credential : MD
Telephone Number : 336-626-9139
Provider Enumeration Date : 02/27/2007
Last Update Date : 05/02/2013

Similar Medicare Providers

1942285812 — MS. DEBORAH RYAN VRUWINK MSW, LCSW
Practice Location Address:
547 N FAYETTEVILLE ST
ASHEBORO, NC
27203-4725
Practice Phone: 336-629-7112
Practice Fax: 336-629-0312
1184661738 — BEHAVIORAL ASSOCIATES OF ASHEBORO
Practice Location Address:
547 N FAYETTEVILLE ST
ASHEBORO, NC
27203-4725
Practice Phone: 336-629-7112
Practice Fax:
1033246780 — BEHAVIORAL ASSOCIATES OF ASHEBORO
Practice Location Address:
547 N FAYETTEVILLE ST
ASHEBORO, NC
27203-4725
Practice Phone: 336-629-7112
Practice Fax: 336-629-0312
1790956092 — MRS. VICKI H TERRY MSW, LCSW
Practice Location Address:
547 N FAYETTEVILLE ST
ASHEBORO, NC
27203-4725
Practice Phone: 336-629-7112
Practice Fax:
1053676908 — NEW HORIZONS TREATMENT CENTER
Practice Location Address:
547 N FAYETTEVILLE ST
ASHEBORO, NC
27203-4725
Practice Phone: 336-628-4636
Practice Fax:
1073470209 — HUSHED AND UNHEARD, PLLC
Practice Location Address:
624 S FAYETTEVILLE ST STE F2
ASHEBORO, NC
27203-6582
Practice Phone: 336-628-8735
Practice Fax: 336-217-8855

Directions to “ASHEBORO PSYCHIATRIC SERVICES PLLC ” Practice Location

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