Individual
ANGEL VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
603 S CANAL ST, WHITEVILLE, NC 28472-4256
(910) 642-3700
(910) 642-5146
Mailing address
603 S CANAL ST, WHITEVILLE, NC 28472-4256
(910) 642-3700
(910) 642-5146
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9701181
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891122K
—
NC
Enumeration date
09/16/2006
Last updated
01/23/2014
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