Individual
MARK FREDERIC MEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-2164
(910) 715-4493
Mailing address
PO BOX 3000, PINEHURST, NC 28374-3000
(910) 715-2164
(910) 715-4493
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
009900299
NC
Other
Enumeration date
06/07/2006
Last updated
10/02/2024
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