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Individual

DR. ATHAR TEHSIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1638 OWEN DRIVE, FAYETTEVILLE, NC 28304
(910) 615-6030
(910) 615-5080
Mailing address
P.O. BOX 40908, FAYETTEVILLE, NC 28309
(910) 615-6448
(910) 615-5070

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0090-00904
NC
207RI0200X
Infectious Disease Physician
Primary
2006-01505
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5905319
NC
Enumeration date
09/14/2006
Last updated
03/20/2012
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