Organization Name: | ANTONIO M BIRD MD PA |
NPI Number: | 1528113925 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTONIO MODESTO BIRD (PRESIDENT) |
Mailing Address: | 14 S Pack Sq Suite 362 Asheville |
State: | NC US |
Postal Code: | 288013511 |
Phone Number: | 8282321994 |
Fax Number: | 8282329941 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 9501494 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |