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NPI Code Detail

MEDICARE: MRS. MARGARET MITCHELL FLATLEY

MEDICARE: MRS. MARGARET MITCHELL FLATLEY
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
1103TC0700XClinical PsychologistLPA #2452NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1137PAOTHERNCBC/BS PROVIDER NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083634661
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARGARET MITCHELL FLATLEY
Provider Business Mailing Address
First Line : 806 HAY ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28305-5312
Country : US
Telephone Number : 910-860-7008
Fax Number : 910-221-9006
Provider Business Practice Location Address
First Line : 806 HAY ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28305-5312
Country : US
Telephone Number : 910-860-7008
Fax Number : 910-221-9006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 03/23/2012

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Directions to “ MRS. MARGARET MITCHELL FLATLEY ” Practice Location

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