Healthcare Provider Details

I. General information

NPI: 1669506150
Provider Name (Legal Business Name): WILLIAM FREDERICK OBRECHT II M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 03/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 JEFFERSON ST
WHITEVILLE NC
28472-3634
US

IV. Provider business mailing address

PO BOX 505
WHITEVILLE NC
28472-0505
US

V. Phone/Fax

Practice location:
  • Phone: 910-642-6427
  • Fax: 910-642-5769
Mailing address:
  • Phone: 910-642-6427
  • Fax: 910-642-5769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25938
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: