Individual
DR. CARY FREDERICK BIZZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9460
(919) 734-1866
Mailing address
PO BOX 1757, GOLDSBORO, NC 27533-1757
(919) 734-1866
(919) 736-1804
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
170694
NC
2085R0202X
Diagnostic Radiology Physician
2011-00108
NC
2085R0202X
Diagnostic Radiology Physician
D65295
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032654200
—
MD
05
—
5917797
—
NC
01
—
P00974076
RAILROAD MEDICARE
NC
Enumeration date
01/31/2007
Last updated
11/30/2022
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