MEDICARE: DR. MARIBETH P LOYNES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician	2009-00152	NC

General Provider Information

NPI Number	:	1023117926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIBETH P LOYNES M.D.

Provider Business Mailing Address
First Line	:	4251 ARENDELL ST STE C
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-2871
Country	:	US
Telephone Number	:	252-222-0660
Fax Number	:	252-222-0663

Provider Business Practice Location Address
First Line	:	4251 ARENDELL ST STE C
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-2871
Country	:	US
Telephone Number	:	252-222-0660
Fax Number	:	252-222-0663

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	01/16/2014

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