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Dr. Walter S Fasolak, DO
Obstetrics & Gynecology Physician in Southern Pines, North Carolina
NPI 1497716211

Walter S Fasolak is a Obstetrics & Gynecology Physician based in Southern Pines, NC. Walter S Fasolak practices in Southern Pines, NC and has the professional credentials of DO. The NPI Number for Walter S Fasolak is 1497716211 and holds a License No. 39728 (North Carolina).

The current practice location address for Walter S Fasolak is 145 Applecross Rd, Southern Pines, NC and can be reached out via phone at 910-692-7928 and via fax at 910-692-5962.

Location: 145 Applecross Rd, Southern Pines, NC, 28388-0749
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497716211
Provider Name
Walter S Fasolak
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
145 Applecross Rd, Southern Pines, NC, 28388-0749
Phone Number
910-692-7928
Fax Number
910-692-5962
Provider Enumeration Date
03/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8931369 05 NC
Q39728 05 SC
31369 01 BLUE CROSS BLUE SHIELD
9663436 01 GHI
980000066 01 MEDICARE RAILROAD
FH1000115 01 FIRST CAROLINA CARE
42653 01 MEDCOST
institution
Provider Business Practice Location Address Details
Address
145 Applecross Rd
City
Southern Pines
State
North Carolina
Zip
28387
Phone Number
910-692-7928
Fax Number
910-692-5962
person
Provider Business Mailing Address Details
Address
145 Applecross Rd
City
Southern Pines
State
North Carolina
Zip
28387
Phone Number
910-692-7928
Fax Number
910-692-5962
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
39728 (North Carolina)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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