Image

Deidra Blanks

Otolaryngology/Facial Plastic Surgery

1839 Quiet Cv
Fayetteville , North Carolina 28304-3857

Write a Review Save Call QR Code
Image

Deidra Blanks

Otolaryngology/Facial Plastic Surgery

1839 Quiet Cv
Fayetteville , North Carolina 28304-3857

(910) 323-1575

Write a Review Save Call

Deidra Blanks

Otolaryngology/Facial Plastic Surgery

1839 Quiet Cv
Fayetteville , North Carolina 28304-3857

(910) 323-1575 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Otolaryngology/Facial Plastic Surgery

Languages spoken

  • English

Location

1839 Quiet Cv Fayetteville , North Carolina 28304-3857

First Address

  • Deidra Blanks
  • 1839 Quiet Cv
  • Fayetteville, NC
  • Zip : 28304-3857
  • Fax : (910) 323-1575
  • Phone : (910) 323-1463

Second Address

  • Deidra Blanks
  • 1839 Quiet Cv
  • Fayetteville, NC
  • Zip : 28304-3857
  • Fax : (910) 323-1575
  • Phone : (910) 323-1463

Reviews

Start your review of Deidra Blanks

FAQs


Where did Deidra Blanks attend graduate school?

Provider has not completed her profile. If you are Deidra Blanks, click here to claim your profile

Where did Deidra Blanks do her residency?

Provider has not completed her profile. If you are Deidra Blanks, click here to claim your profile

Where did Deidra Blanks do her fellowship?

Provider has not completed her profile. If you are Deidra Blanks, click here to claim your profile

Is Deidra Blanks board certified?

Provider has not completed her profile. If you are Deidra Blanks, click here to claim your profile

What type of doctor is Deidra Blanks

Otolaryngology/Facial Plastic Surgery

In what state does Deidra Blanks practice in?

North Carolina

Where is Deidra Blanks ’s practice located?

1839 Quiet Cv , Fayetteville, North Carolina, 28304-3857

What is Deidra Blanks ’s gender?

Female

Is Deidra Blanks a sole practitioner?

No

Is Deidra Blanks accepting new patients?

Provider has not completed her profile. If you are Deidra Blanks, click here to claim your profile

What languages does Deidra Blanks speak?

Provider has not completed her profile. If you are Deidra Blanks, click here to claim your profile

Does Deidra Blanks accept insurance?

Yes, Deidra Blanks accepts insurance

Does Deidra Blanks offers telemedicine?

Deidra Blanks has not indicated if she offers telemedicine

What is Deidra Blanks ’s professional license number?

Provider has not completed her profile. If you are Deidra Blanks, click here to claim your profile

What is Deidra Blanks ’s NPI number?

1619170529

Does Deidra Blanks have any license restrictions?

Provider has not completed her profile. If you are Deidra Blanks, click here to claim your profile

Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207YX0905X Otolaryngology/Facial Plastic Surgery 2006-00621 NC
N 207YX0905X Otolaryngology/Facial Plastic Surgery 2011003947 MO

National Provider Identifier

NPI 1619170529
Provider Name Deidra Blanks
First Address Fayetteville, NC 28304-3857
Second Address Fayetteville, NC 28304-3857
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 07/06/2007
Last Update Date 11/06/2021

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
1619170529 (05) NC

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

Claim this business page.

This profile has not yet been claimed by the owner or a representative.

Search

Hello GPT