Martin E Bacon in Fayetteville - Cardiovascular Disease
Martin E Bacon - NPI 1811961683
Martin E Bacon is a Cardiovascular Disease in Fayetteville, North Carolina. Martin E Bacon practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Martin E Bacon is 1811961683. The last update date is 2008-01-09.
Martin E Bacon's current location address is 3634 Cape Center Drive, Fayetteville, North Carolina. You can contact this provider via phone number 9104856470 and fax number 9104858198. The mailing address for Martin E Bacon is 3634 Cape Center Drive, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martin E Bacon |
|---|---|
| Address | 3634 Cape Center Drive, Fayetteville, North Carolina |
| Phone Number | 9104856470 |
| Fax Number | 9104858198 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1811961683 |
|---|---|
| Provider Enumeration Date | 2006-02-16 |
| Last Updated Date | 2008-01-09 |
Provider Mailing Address Detail
| Address | 3634 Cape Center Drive |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 28304 |
| Phone Number | 9104856470 |
| Fax Number | 9104858198 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 38890 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8912453 | NC | -- | |
| 12453 | NC | BCBS |
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What is the unique 10-digit identifier code issued to Martin E Bacon by the Centers for Medicare & Medicaid Services?
The Martin E Bacon has been assigned the NPI (National Provider Identifier) 1811961683 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Martin E Bacon's physical address?
The Martin E Bacon is physically located at 3634 Cape Center Drive, in the city of Fayetteville, NC, with the postal code 28304.
What is the Martin E Bacon's specialty and taxonomy code?
The Martin E Bacon's specialty is Cardiovascular Disease, and the corresponding taxonomy code is 207Rc0000X.
When was the Martin E Bacon's 1811961683 issued?
The Martin E Bacon's 1811961683 was issued on 2006-02-16.
When was the Martin E Bacon's information last updated?
The Martin E Bacon's information was last updated on 2008-01-09.
NPI Number: 1063415297
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