Basic Information
Provider Information
NPI: 1821626953
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SZABO
FirstName: BRITTANY
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Mailing Information
Address1: 140 WOODLAND DR
Address2:  
City: PINEHURST
State: NC
PostalCode: 283748201
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 5 FIRST VILLAGE DR
Address2:  
City: PINEHURST
State: NC
PostalCode: 283749495
CountryCode: US
TelephoneNumber: 9102956831
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/01/2020
LastUpdateDate: 01/26/2022
NPIDeactivationReasonCode:  
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NPIReactivationDate:  
ProviderGenderCode: F
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IsSoleProprietor: N
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NPICertificationDate: 08/19/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AS0400X0010-10480NCY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical

No ID Information.


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