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Fayetteville Otolaryngology Head And Neck Surgery P.a.
Specialist in Fayetteville, North Carolina
NPI 1538189279

Fayetteville Otolaryngology Head And Neck Surgery P.a. is a Specialist based in Fayetteville, NC. Fayetteville Otolaryngology Head And Neck Surgery P.a. practices in Fayetteville, NC. The NPI Number for Fayetteville Otolaryngology Head And Neck Surgery P.a. is 1538189279 and holds a License No. (North Carolina).

The current practice location address for Fayetteville Otolaryngology Head And Neck Surgery P.a. is 1839 Quiet Cv, Fayetteville, NC and can be reached out via phone at 910-323-1463 and via fax at 910-323-1575.

Location: 1839 Quiet Cv, Fayetteville, NC, 28304-3857
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538189279
Provider Name
Fayetteville Otolaryngology Head And Neck Surgery P.a.
Credential
Provider Entity Type
Organization
Address
1839 Quiet Cv, Fayetteville, NC, 28304-3857
Phone Number
910-323-1463
Fax Number
910-323-1575
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0130C 01 NC BCBS OF NC
890130C 05 NC
CA7111 01 NC RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1839 Quiet Cv
City
Fayetteville
State
North Carolina
Zip
28304-3857
Phone Number
910-323-1463
Fax Number
910-323-1575
person
Provider Business Mailing Address Details
Address
1839 Quiet Cv
City
Fayetteville
State
North Carolina
Zip
28304-3857
Phone Number
910-323-1463
Fax Number
910-323-1575
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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