Individual
DR. GEORGE CONSTANTINE PANTELAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1248 FORT BRAGG RD, FAYETTEVILLE, NC 28305-4981
(910) 323-0334
(888) 391-5874
Mailing address
1248 FORT BRAGG RD, FAYETTEVILLE, NC 28305-4981
(910) 323-0334
(888) 391-5874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39456
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
896518E
—
NC
Enumeration date
07/27/2006
Last updated
06/19/2012
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