Doctor Name: | ZED ALEX MANSFIELD |
NPI Number: | 1295088748 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A.-C |
License Number: | 0010-03773 |
Business Practice Address: | 3164 Us Highway 70 Black Mountain, NC - 287116302 |
Business Phone Number: | 8286694505 |
Business Fax Number: | |
Mailing Address: | 259 Governors View Rd, ASHEVILLE |
State: | NC |
Postal Code: | 288052347 |
Phone Number: | 8652577414 |
Fax Number: | |
NPI Enumeration Date: | 10/22/2012 |
NPI Last Update Date: | 04/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 0010-03773 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |