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NPI Code Detail

MEDICARE: DR. MARYSELLE WINTERS DO

MEDICARE:  DR. MARYSELLE  WINTERS  DO
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
1208600000XSurgery Physician2022-01158NC

General Provider Information

NPI Number : 1972023497
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARYSELLE WINTERS DO
Provider Business Mailing Address
First Line : PO BOX 40908
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28309-0908
Country : US
Telephone Number : 910-615-6949
Fax Number : 910-615-9761
Provider Business Practice Location Address
First Line : 4140 FERNCREEK DR STE 601
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28314-2569
Country : US
Telephone Number : 910-485-3880
Fax Number : 910-485-5341
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2017
Last Update Date : 03/02/2026

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Directions to “ DR. MARYSELLE WINTERS DO” Practice Location

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