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Deidra Blanks, MD
Otolaryngology/Facial Plastic Surgery Physician in Fayetteville, North Carolina
NPI 1619170529

Deidra Blanks is a Otolaryngology/Facial Plastic Surgery Physician based in Fayetteville, NC and is specialized in Otolaryngology/Facial Plastic Surgery. Deidra Blanks practices in Fayetteville, NC and has the professional credentials of MD. The NPI Number for Deidra Blanks is 1619170529 and holds a License No. 2006-00621 (North Carolina).

The current practice location address for Deidra Blanks 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
person
Provider Profile Details
NPI Number
1619170529
Provider Name
Deidra Blanks
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1839 Quiet Cv, Fayetteville, NC, 28304-3857
Phone Number
910-323-1463
Fax Number
910-323-1575
Provider Enumeration Date
06/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1619170529 05 NC
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
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otology & Neurotology
Taxonomy
207YX0901X
License No.
2006-00621 (North Carolina)
Definition
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
2006-00621 (North Carolina)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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