DEIDRA BLANKS M.D.
Individual Provider (NPI-1)
Active
Otolaryngology, Otolaryngology/Facial Plastic Surgery
Provider Information
- NPI Number
1619170529- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 1839 QUIET CV, FAYETTEVILLE, NC, 283043857
- Phone
- (910) 323-1463
- Fax
- (910) 323-1575
Specialties & Taxonomies
Otolaryngology, Otolaryngology/Facial Plastic Surgery
Primary License: NC #2006-00621
Otolaryngology, Otology & Neurotology
License: NC #2006-00621
Otolaryngology, Otolaryngology/Facial Plastic Surgery
License: MO #2011003947