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NPI Code Detail

MEDICARE: DR. LARRY JOE MATURANI MD

MEDICARE: DR. LARRY JOE MATURANI MD
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
1207R00000XInternal Medicine Physician2018-02605NC

General Provider Information

NPI Number : 1750597019
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LARRY JOE MATURANI MD
Provider Business Mailing Address
First Line : 221A PROFESSIONAL CIR
Second Line :
City : MOREHEAD CITY
State : NC
Zip : 28557-4303
Country : US
Telephone Number : 252-726-5767
Fax Number : 252-726-7573
Provider Business Practice Location Address
First Line : 1638 OWEN DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-3424
Country : US
Telephone Number : 910-615-5680
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 01/16/2026

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Directions to “ DR. LARRY JOE MATURANI MD” Practice Location

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