Mission Community Anesthesiology Specialists LLC

NPI #1841760238 in Arden, North Carolina

Provider Information

NPI Number
1841760238
Entity Type
Organization
Organization Name
Mission Community Anesthesiology Specialists LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
Nov 28, 2018
Last Updated
Nov 28, 2018

Practice Location

Address
2695 HENDERSONVILLE RD STE 206
City
Arden
ZIP Code
28704-8576
Phone
(828) 213-1740

Authorized Official

Name
MARILYN TATHAM, DO
Title
PROVIDER ENROLLMENT MANAGER
Phone
(828) 651-6595

Specialties & Taxonomy Codes

Specialty
Pediatrics - Pediatric GastroenterologyPediatric Gastroenterology
Internal Medicine - GastroenterologyGastroenterology

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Organizations

Provider Name
Mission Medical Associates

Part of Mission Medical Associates

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