| Olson Huff/mma Psychiatric | |
|
11 Vanderbilt Park Dr Asheville NC 28803-1700 | |
| (828) 213-1700 | |
| Not Available |
| Full Name | Olson Huff/mma Psychiatric |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 11 Vanderbilt Park Dr, Asheville, North Carolina |
| Authorized Official Name and Position | William Tederick Johnson (GROUP VP/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6153723375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olson Huff/mma Psychiatric Po Box 603366 Charlotte NC 28260-3366 Ph: (828) 213-1500 | Olson Huff/mma Psychiatric 11 Vanderbilt Park Dr Asheville NC 28803-1700 Ph: (828) 213-1700 |
| NPI Number | 1003386228 |
|---|---|
| Provider Enumeration Date | 11/30/2018 |
| Last Update Date | 05/15/2020 |
| Certification Date | 05/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003386228 | NPI | - | NPPES |
| 02CG9 | Other | NC | BC/BS NC |
| 1003386228 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (NU) | Primary |
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