Basic Information
Provider Information
NPI: 1619958220
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STRINGER
FirstName: BYRON
MiddleName: TODD
NamePrefix:  
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 445 BILTMORE AVE
Address2: SUITE 100
City: ASHEVILLE
State: NC
PostalCode: 288014565
CountryCode: US
TelephoneNumber: 8282534262
FaxNumber: 8282521237
Practice Location
Address1: 445 BILTMORE AVE
Address2: SUITE 100
City: ASHEVILLE
State: NC
PostalCode: 288014565
CountryCode: US
TelephoneNumber: 8282534262
FaxNumber: 8282521237
Other Information
ProviderEnumerationDate: 11/10/2005
LastUpdateDate: 01/06/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AM0700X103322NCY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


Home