Basic Information
Provider Information
NPI: 1225398803
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FLYNN
FirstName: DAVID
MiddleName: N
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 101 MANNING DR
Address2:  
City: CHAPEL HILL
State: NC
PostalCode: 275144220
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 101 MANNING DR N2198 UNC HOSPITALS CB 7010
Address2:  
City: CHAPEL HILL
State: NC
PostalCode: 275994206
CountryCode: US
TelephoneNumber: 9199665136
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/17/2012
LastUpdateDate: 01/09/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/09/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X2016-01093NCY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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