Organization
ATUL KANTESARIA MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATUL KANTESARIA M.D. (PSYCHIATRIST)
(910) 433-4463
Entity
Organization
Contact information
Practice address
105 HUNTER CIR, FAYETTEVILLE, NC 28304-3407
(910) 433-4463
(910) 491-0002
Mailing address
4310 HUNTSFIELD RD, FAYETTEVILLE, NC 28314-2533
(910) 584-5790
(910) 491-0002
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9401427
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903692
—
NC
Enumeration date
10/01/2007
Last updated
01/12/2016
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