DR. VIVIAN RUTH POETTER MD NPI 1104071851

NPI Information

NPI: 1104071851
Provider Name: DR. VIVIAN RUTH POETTER, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
201 TABERNACLE RD
JFK ALCOHOL AND DRUG ABUSE TREATMENT CENTER
BLACK MOUNTAIN, NC
ZIP 28711
Phone: (828) 257-6228
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DR. Vivian Ruth Poetter, MD is a general practice in Black Mountain, NC. DR. Vivian Ruth Poetter, MD NPI is 1104071851. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

201 TABERNACLE RD
JFK ALCOHOL AND DRUG ABUSE TREATMENT CENTER
BLACK MOUNTAIN, NC
ZIP 28711-526
Phone: (828) 257-6228
Fax: (828) 256-6300

The enumeration date for this NPI number is 11/21/2008 and was last updated on 11/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		2011-00058	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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