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Individual

MARK ASHFORD BLIZZARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
2704 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9460
(919) 736-4724
Mailing address
207 SPRINGCREST DR, SEVEN SPRINGS, NC 28578-9096
(919) 222-4255

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
5016589
NC

Other

Enumeration date
07/22/2022
Last updated
07/22/2022
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