Callie, Fawn Serene

Callie, Fawn Serene is an individual health care provider with primary practice located at 2707 Medical Office Pl , Goldsboro NC 27534-9458. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Callie, Fawn Serene can be contacted via phone (919) 735-9146.

Contact Information

Primary practice address
2707 Medical Office Pl Goldsboro NC 27534-9458
Phone: (919) 735-9146
Fax: (919) 735-0582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 101963 North Carolina

Profile Details

NPI number 1932184611
LBN Legal business name Callie, Fawn Serene
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Feb 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932184611 NPPES
North Carolina Other P00238952 RETIRED RAILROAD MEDICARE

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