Provider Demographics
NPI:1871560862
Name:JOSEPH, MARK A (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:A
Last Name:JOSEPH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1 VANDERBILT PARK DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1736
Mailing Address - Country:US
Mailing Address - Phone:828-277-8233
Mailing Address - Fax:828-692-3297
Practice Address - Street 1:1 VANDERBILT PARK DR
Practice Address - Street 2:SUITE 150
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1736
Practice Address - Country:US
Practice Address - Phone:828-693-1773
Practice Address - Fax:828-692-3297
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NC0090-00908207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV2005476000Medicaid
WVJO6031533Medicare ID - Type Unspecified
WV2005476000Medicaid