Deidra Blanks in Fayetteville - Otolaryngology/facial Plastic Surgery

Deidra Blanks - NPI 1619170529

Deidra Blanks is a Otolaryngology/facial Plastic Surgery in Fayetteville, North Carolina. Deidra Blanks practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Deidra Blanks is 1619170529. The last update date is 2021-06-11.

Deidra Blanks's current location address is 1839 Quiet Cv, Fayetteville, North Carolina. You can contact this provider via phone number 9103231463 and fax number 9103231575. The mailing address for Deidra Blanks is 1839 Quiet Cv, Fayetteville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Deidra Blanks
Address 1839 Quiet Cv, Fayetteville, North Carolina
Phone Number 9103231463
Fax Number 9103231575
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1619170529
Provider Enumeration Date 2007-06-07
Last Updated Date 2021-06-11

Provider Mailing Address Detail

Address 1839 Quiet Cv
City Fayetteville
State North Carolina (NC)
Post Code 283043857
Phone Number 9103231463
Fax Number 9103231575

Provider's Primary Taxonomy Detail

Speciality Otolaryngology/facial Plastic Surgery
Taxonomy 207Yx0905X
Licence No 2006-00621
Definition:
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1619170529 NC --

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FAQs about Deidra Blanks

What is the unique identifier code issued to Deidra Blanks by the Centers for Medicare & Medicaid Services (CMS)?

The Deidra Blanks has been assigned the NPI (National Provider Identifier) 1619170529. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Deidra Blanks's facilities are geographically located?

The facilities of Deidra Blanks are physically situated at the following location: 1839 Quiet Cv, Fayetteville, NC, 283043857.

What is Deidra Blanks's specialized field of practice, and what is the corresponding taxonomy classification code?

The Deidra Blanks's area of specialization is Otolaryngology/facial Plastic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207Yx0905X.

When was the Deidra Blanks's 1619170529 issued?

The Deidra Blanks's 1619170529 was issued on 2007-06-07.

When was the information related to Deidra Blanks most recently updated or refreshed?

The details pertaining to the Deidra Blanks, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-06-11.

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