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Individual

DANIEL SCOTT BARRACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1638 OWEN DRIVE, FAYETTEVILLE, NC 28304-3424
(910) 615-5095
Mailing address
1638 OWEN DRIVE, FAYETTEVILLE, NC 28304-3424
(910) 615-5095

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
202300376
NC
208D00000X
General Practice Physician
2023-00376
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/27/2020
Last updated
06/17/2025
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