Organization
LUIS E. DONAYRE, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS ERNESTO DONAYRE M.D. (PRESIDENT)
(910) 642-3136
Entity
Organization
Contact information
Practice address
711 N FRANKLIN ST, WHITEVILLE, NC 28472-3412
(910) 642-3136
(910) 642-3137
Mailing address
711 N FRANKLIN ST, WHITEVILLE, NC 28472-3412
(910) 642-3136
(910) 642-3137
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
15749
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011KU
BCBS GROUP PROVIDER NUMBE
—
01
—
28830
BCBS INDIVIDUAL PROVIDER
—
05
—
8928830
—
NC
Enumeration date
06/12/2006
Last updated
04/20/2008
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