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Organization

CAPE FEAR PLASTIC SURGERY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN MITCHELL HERRING MD (PHYSICIAN PRESIDENT)
(910) 486-9093
Entity
Organization

Contact information

Practice address
516 BEAUMONT RD, FAYETTEVILLE, NC 28304-4443
(910) 486-9093
(910) 486-9048
Mailing address
PO BOX 53726, FAYETTEVILLE, NC 28305-3726
(910) 486-9093
(910) 486-9048

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0186M
BCBS
NC
05
890186M
NC
Enumeration date
02/21/2007
Last updated
10/16/2007
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