Charles F Flynn, P.A.
Individual provider Active NPI Medical Physician Assistant · Swannanoa, NC
NPI 1295954956 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1295954956
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 102730 (NC)
- Practice address
- 2296 US 70 Hwy
Swannanoa, NC 28778-8209 - Phone
- (828) 686-5232
- Fax
- (828) 686-7269
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102730 | NC | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 102730 | NC | Yes |
Addresses
Primary practice location
2296 US 70 Hwy
Swannanoa, NC 28778-8209
Mailing address
2296 US 70 Hwy
Swannanoa, NC 28778-8209
Phone (828) 686-5232
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01649 | Other | NC | BCBS GROUP NUMBER |
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All providers in Swannanoa, NC · Medical Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.