Individual
HERNANDO SALCEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 ROBESON ST, SUITE 203, FAYETTEVILLE, NC 28305-5640
(910) 615-3220
(910) 486-2170
Mailing address
PO BOX 40908, FAYETTEVILLE, NC 28309-0908
(910) 615-3220
(910) 486-2170
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0101020668
VA
208800000X
Urology Physician
Primary
200700289
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145A4
BCBS-NC
NC
05
—
5906149
—
NC
Enumeration date
01/09/2006
Last updated
02/11/2014
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