Organization
FAYETTEVILLE OTOLARYNGOLOGY HEAD AND NECK SURGERY P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GWENDOLYN C PARKS (ADMINISTRATOR)
(910) 323-1463
Entity
Organization
Contact information
Practice address
1839 QUIET CV, FAYETTEVILLE, NC 28304-3857
(910) 323-1463
(910) 323-1575
Mailing address
1839 QUIET CV, FAYETTEVILLE, NC 28304-3857
(910) 323-1463
(910) 323-1575
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0130C
BCBS OF NC
NC
05
—
890130C
—
NC
01
—
CA7111
RAILROAD MEDICARE
NC
Enumeration date
07/19/2006
Last updated
10/22/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us