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Individual

FATIMA A BRENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
700 N MAIN ST, STANLEY, NC 28164
(704) 263-8945
(704) 263-2591
Mailing address
700 N MAIN ST, STANLEY, NC 28164-1438
(704) 263-8945
(704) 263-2591

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2006-01670
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1871678110
NC
Enumeration date
10/26/2006
Last updated
08/01/2018
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