Organization
FAYETTEVILLE OTOLARYNGOLOGY HEAD AND NECK SURGERY PA
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
231H00000X
Audiologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
01/12/2022
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