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1932190261

NPI Code Detail

MEDICARE: DR. ANNA FRANCES FAKADEJ MD

MEDICARE: DR. ANNA FRANCES FAKADEJ 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
1	207W00000X	Ophthalmology Physician	9701744	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	180034436	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1097X	OTHER	NC	BCBS
2	2247575	OTHER		DMERC
3	FH2000135	OTHER	NC	FIRSTCAROLINACARE
4	364186	OTHER	NC	MAMSI
5	83520	OTHER	NC	MEDCOST
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	0838864	OTHER	NC	UNITED HEALTHCARE
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932190261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNA FRANCES FAKADEJ MD

Provider Business Mailing Address
First Line	:	2170 MIDLAND RD
Second Line	:
City	:	SOUTHERN PINES
State	:	NC
Zip	:	28387-2927
Country	:	US
Telephone Number	:	910-295-2100
Fax Number	:	910-295-3625

Provider Business Practice Location Address
First Line	:	2170 MIDLAND RD
Second Line	:
City	:	SOUTHERN PINES
State	:	NC
Zip	:	28387-2927
Country	:	US
Telephone Number	:	910-295-2100
Fax Number	:	910-295-3625

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	08/12/2024

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Directions to “ DR. ANNA FRANCES FAKADEJ MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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