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Organization
PEACHTREE ENT & FACIAL PLASTICS PA
Active
Organization
PEACHTREE ENT & FACIAL PLASTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD TODD WEISENBURGER D.O. (PRESIDENT/OWNER)
(828) 837-3223
Entity
Organization
Contact information
Practice address
145 MEDICAL PARK LANE, SUITE J, MURPHY, NC 28906-6663
(828) 837-3223
(828) 837-7706
Mailing address
145 MEDICAL PARK LANE, SUITE J, MURPHY, NC 28906-6663
(828) 837-3223
(828) 837-7706
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
2007-01919
NC
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
2007-01919
NC
Other
Enumeration date
04/02/2008
Last updated
03/31/2014
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