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1114920030
ISSA ELGENDY
FAYETTEVILLE, NC
NPI
1114920030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NC 200000049)
Enumeration Date
2005-05-24
Last Update Date
2007-07-09
Business Address
Dr. ISSA ELGENDY MD
1262 OLIVER ST STE B
FAYETTEVILLE, NC 28304-4449
Phone number: 910-609-4801
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Mailing Address
Dr. ISSA ELGENDY MD
PO BOX 40908
FAYETTEVILLE, NC 28309-0908
Phone number: 910-609-6448
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