Individual
MR. BARRY W MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
4140 FERNCREEK DR, SUITE 803, FAYETTEVILLE, NC 28314-2563
(910) 483-5737
(910) 483-2327
Mailing address
4140 FERNCREEK DR, SUITE 803, FAYETTEVILLE, NC 28314-2563
(910) 483-5737
(910) 483-2327
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
LP. 75
OH
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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