Individual
ANISHA PANICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 678-0100
(910) 678-0115
Mailing address
1601 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 678-0100
(910) 678-0115
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036147131
IL
207Q00000X
Family Medicine Physician
209498
NC
Other
Enumeration date
06/01/2015
Last updated
10/01/2020
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