Haywood Family Medicine Professional LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HAYWOOD FAMILY MEDICINE PROFESSIONAL LLC

Practice address

1170 Crabtree Rd
Waynesville, NC 28785-7443

Phone

(828) 456-9006

Fax

(828) 456-8199

NPI assigned

Jul 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Grant Mulholland, M.D.

Title

Owner

Phone

(828) 456-9006

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1093746406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 CRABTREE RD",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287857443",
            "telephone_number": "828-456-9006",
            "fax_number": "828-456-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 CRABTREE RD",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287857443",
            "telephone_number": "828-456-9006",
            "fax_number": "828-456-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYWOOD FAMILY MEDICINE PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "MULHOLLAND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-456-9006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "6131F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haywood County Health Department
• Haywood County Health Department
• Haywood County Psychological Services (Jackson County Psychological Services)
• Haywood County Rescue Squad Inc
• Haywood Family Eye Care OD PLLC
• Haywood Optometric Care PA
• Haywood Regional Medical Center (Waynesville Family Practice Center)
• Haywood Vocational Opportunities Inc
• Hazelwood Family Medicine, PLLC
• Healthpros, Inc.

• Family Medicine Physician in Waynesville, NC
• Providers in Waynesville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.