Organization
HAYMONT SKIN CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INAD BADREDDIN ATASSI M.D. (PRESIDENT)
(910) 321-7546
Entity
Organization
Contact information
Practice address
1008 HAY ST, FAYETTEVILLE, NC 28305-5316
(910) 321-7546
Mailing address
1008 HAY ST, FAYETTEVILLE, NC 28305-5316
(910) 321-7546
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
24630
NC
207T00000X
Neurological Surgery Physician
Primary
24630
NC
363A00000X
Physician Assistant
102748
NC
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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