Basic Information
Provider Information
NPI: 1821027608
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOPPLE
FirstName: SISSEL
MiddleName: K
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 742296
Address2:  
City: ATLANTA
State: GA
PostalCode: 303742296
CountryCode: US
TelephoneNumber: 8286876282
FaxNumber: 8286508076
Practice Location
Address1: 333 GASHES CREEK RD
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288039405
CountryCode: US
TelephoneNumber: 8282980333
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/02/2006
LastUpdateDate: 07/22/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XNC9400662NCY Allopathic & Osteopathic PhysiciansFamily Medicine 

ID Information
IDTypeStateIssuerDescription
P0130871001NCRR MEDICAREOTHER
029F701NCBCBS OF NCOTHER


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