Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEIDRA BLANKS, M.D.
ActiveDEIDRA BLANKS, M.D. is a Facial Plastic Surgery healthcare provider located in FAYETTEVILLE, North Carolina. NPI 1619170529 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · FAYETTEVILLE, NC
Registration Details
- NPI Number
- 1619170529
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 7, 2007 (19.156295813207 yrs)
- Last Updated
- Jun 11, 2021
- Licenses
-
2006-00621 (NC)2006-00621 (NC)2011003947 (MO)
Practice Information
- Address
-
1839 QUIET CVFAYETTEVILLE, NC, 283043857Browse NC providers · Browse ZIP 28304
- Phone
- 9103231463
- Fax
- 9103231575
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
- Additional Specialty
- Otolaryngic Allergy
- Additional Specialty
- Facial Plastic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.