Fayetteville Otolaryngology Head and Neck Surgery P.a.
NPI #1538189279 in Fayetteville, North Carolina
Provider Information
- NPI Number
- 1538189279
- Entity Type
- Organization
- Organization Name
- Fayetteville Otolaryngology Head and Neck Surgery P.a.
- Primary Specialty
- Specialist
- Enumeration Date
- Jul 19, 2006
- Last Updated
- Oct 22, 2007
Practice Location
- Address
- 1839 QUIET CV
- City
- Fayetteville
- State
- North Carolina
- ZIP Code
- 28304-3857
- Phone
- (910) 323-1463
Authorized Official
- Name
- MRS. GWENDOLYN C PARKS
- Title
- ADMINISTRATOR
- Phone
- (910) 323-1463
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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