Ameredes, Harry T

Ameredes, Harry T is an individual health care provider with primary practice located at 3186 Village Dr 201 , Fayetteville NC 28304-3979. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ameredes, Harry T can be contacted via phone (910) 486-5700.

Contact Information

Primary practice address
3186 Village Dr 201 Fayetteville NC 28304-3979
Fax: (910) 486-5950
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 200600416 North Carolina

Profile Details

NPI number 1104845528
LBN Legal business name Ameredes, Harry T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Aug 17th, 2015 - about 10 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 1104845528 NPPES
South Carolina MEDICAID Q0041J
South Carolina MEDICAID 5905921

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