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Individual

JOHN MATTHEW CECCHINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
Mailing address
1505 TULLAMORE LN, FAYETTEVILLE, NC 28303-5570
(757) 375-3340

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101228936
VA
207L00000X
Anesthesiology Physician
2019-02916
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005570100
MD
05
010142610
VA
05
5900675
NC
Enumeration date
05/10/2006
Last updated
10/29/2024
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