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Contact Information

BLUE RIDGE PLASTIC SURGERY PA
420 5TH AVE WEST
SUITE 300
HENDERSONVILLE, NC28739
 Phone: 828-697-3553
 Fax: 828-697-5153
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BLUE RIDGE PLASTIC SURGERY PA

NPI Number 1659300333
LBN Legal business name BLUE RIDGE PLASTIC SURGERY PA
Authorized official WILLIAM OVERSTREET - (PRESIDENT MD)
Entity Organization
Organization subpart 1 No
Enumeration date 07/03/2006
Last updated 03/10/2008 - About 18 years ago
Identifiers
NC Medicaid 89013TE
NC Other 013TE BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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