Organization
BLADEN HEALTHCARE, LLC
Active
Other names
Cape Fear Valley - Bladen Surgical Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH B FISER (VP MANAGED CARE AND REVENUE CYCLE)
(910) 615-5572
Entity
Organization
Contact information
Practice address
300A E MCKAY ST, ELIZABETHTOWN, NC 28337-9037
(910) 862-1272
(910) 862-2107
Mailing address
PO BOX 40908, FAYETTEVILLE, NC 28309-0908
(910) 615-6949
(910) 615-9761
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89015UF
—
NC
Enumeration date
05/05/2008
Last updated
05/01/2024
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