Basic Information
Provider Information
NPI: 1801206651
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FITZ
FirstName: VICTORIA
MiddleName: W
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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OtherLastName:  
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Mailing Information
Address1: 3009 OLD CLINIC BUILDING
Address2: CAMPUS BOX 7570, DEPARTMENT OF OBSTETRICS &GYNECOLOGY
City: CHAPEL HILL
State: NC
PostalCode: 275997570
CountryCode: US
TelephoneNumber: 9199665671
FaxNumber: 9198431480
Practice Location
Address1: 3009 OLD CLINIC BUILDING
Address2: CAMPUS BOX 7570, DEPARTMENT OF OBSTETRICS &GYNECOLOGY
City: CHAPEL HILL
State: NC
PostalCode: 27599
CountryCode: US
TelephoneNumber: 9199665671
FaxNumber: 9198431480
Other Information
ProviderEnumerationDate: 05/02/2014
LastUpdateDate: 07/09/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X2018-00708NCY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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