Individual
DR. ERIC LEMOINE MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2053 VALLEYGATE DR, SUITE 101, FAYETTEVILLE, NC 28304-3688
(910) 323-9222
Mailing address
2053 VALLEYGATE DR, SUITE 101, FAYETTEVILLE, NC 28304-3688
(910) 485-5682
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
9800954
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016WN
BLUE CROSS BLUE SHIELD OF NORTH CAROLINA
NC
05
—
89129FP
—
NC
Enumeration date
01/27/2006
Last updated
03/07/2023
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