Organization
CAPE FEAR OTOLARYNGOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YVETTE D SMELSER (ADMINISTRATOR)
(910) 323-9222
Entity
Organization
Contact information
Practice address
2053 VALLEYGATE DRIVE SUITE 101, FAYETTEVILLE, CUMBERLAND, NC 28304
(910) 323-9222
(910) 223-9783
Mailing address
2053 VALLEYGATE DR, SUITE 101, FAYETTEVILLE, NC 28304-3688
(910) 323-9222
(910) 221-9220
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016WN
BCBS OF NC PROVIDER #
NC
05
—
5906259
—
NC
Enumeration date
04/07/2006
Last updated
08/11/2015
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