| Carolina Mountain Internal Medicine | |
|
902 Fleming St Ste C Hendersonville NC 28791-3504 | |
| (828) 698-9193 | |
| (828) 698-9155 |
| Full Name | Carolina Mountain Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 902 Fleming St Ste C, Hendersonville, North Carolina |
| Authorized Official Name and Position | Eric Wayne Byrd (PRESIDENT) |
| Authorized Official Contact | 8286989193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Mountain Internal Medicine 902 Fleming St Ste C Hendersonville NC 28791-3504 Ph: (828) 698-9193 | Carolina Mountain Internal Medicine 902 Fleming St Ste C Hendersonville NC 28791-3504 Ph: (828) 698-9193 |
| NPI Number | 1366473225 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 03/16/2021 |
| Medicare PECOS PAC ID | 5193637650 |
|---|---|
| Medicare Enrollment ID | O20090901000636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366473225 | NPI | - | NPPES |
| 0189L | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 118602 (North Carolina) | Primary |
| Provider Name | Eric W Byrd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184699621 PECOS PAC ID: 4880507565 Enrollment ID: I20031110000070 |
| Provider Name | Edward C Lyrene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609466440 PECOS PAC ID: 4385043306 Enrollment ID: I20210525001099 |
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