NPI 1063627834

Smoky Mountain Urological INC.

Organisation Urology Physician Hendersonville, NC

Practice location

Address: 1334 Asheville Hwy, Hendersonville, NC 28791-3414
Phone: (828) 698-0896
Fax: (828) 698-9532

Authorised official

Name: Rustan Joel van Wyk
Title: Provider
Phone: (828) 698-0896

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 200001545 (NC)

Other Urology providers in North Carolina →

Registry record

NPI: 1063627834
Entity type: Organization
NPI issued: 14 May 2007
Record last updated: 26 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.