MEDICARE: SINUS & ALLERGY SOLUTIONS PA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM1300X	Multi-Specialty Clinic/Center
2	261QP2300X	Primary Care Clinic/Center
3	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1487100210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SINUS & ALLERGY SOLUTIONS PA

Provider Business Mailing Address
First Line	:	2053 VALLEYGATE DR STE 101
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-3983
Country	:	US
Telephone Number	:	910-437-5857
Fax Number	:

Provider Business Practice Location Address
First Line	:	2053 VALLEYGATE DR STE 101
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-3983
Country	:	US
Telephone Number	:	910-437-5857
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	ERIC L MANSFIELD
Credential	:	MD
Telephone Number	:	910-437-5857

Provider Enumeration Date	:	08/31/2016
Last Update Date	:	08/31/2016

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Directions to “SINUS & ALLERGY SOLUTIONS PA ” Practice Location

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