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Individual

DR. MICHAEL J BARTISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD OD

Contact information

Practice address
1902 N SANDHILLS BLVD, ABERDEEN, NC 28315-2382
(910) 692-2020
(800) 308-9356
Mailing address
1902 N SANDHILLS BLVD STE E, ABERDEEN, NC 28315-2347
(910) 692-2020
(800) 308-9356

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9300025
NC
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
9300025
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
012T9
BCBS
05
8913620
NC
01
A0760
MEDCOST
01
FHZ000030
FIRST CAROLINA CARE
Enumeration date
08/12/2006
Last updated
05/05/2021
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