Individual
MR. GERALD ALFRED BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2212 HOPE MILLS RD, FAYETTEVILLE, NC 28304-4228
(910) 779-0454
(910) 491-0833
Mailing address
2300 RAMSEY ST, VETERANS AFFAIRS MEDICAL CENTER, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101260
NC
Other
Enumeration date
05/03/2006
Last updated
08/10/2018
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