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NPI Code Detail

MEDICARE: HAYMONT SKIN CENTER, PA

MEDICARE: HAYMONT SKIN CENTER, PA
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
1207Q00000XFamily Medicine Physician24630NC
2363A00000XPhysician Assistant102748NC
3207T00000XNeurological Surgery Physician24630NC

General Provider Information

NPI Number : 1184861668
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAYMONT SKIN CENTER, PA
Provider Business Mailing Address
First Line : 1008 HAY ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28305-5316
Country : US
Telephone Number : 910-321-7546
Fax Number :
Provider Business Practice Location Address
First Line : 1008 HAY ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28305-5316
Country : US
Telephone Number : 910-321-7546
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. INAD BADREDDIN ATASSI
Credential : M.D.
Telephone Number : 910-321-7546
Provider Enumeration Date : 01/21/2009
Last Update Date : 01/21/2009

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Directions to “HAYMONT SKIN CENTER, PA ” Practice Location

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