| Dr Larry Dale Withers, MD | |
|
1638 Owen Dr, Fayetteville, NC 28304-3424 | |
| (910) 323-8594 | |
| (910) 323-5795 |
| Full Name | Dr Larry Dale Withers |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1638 Owen Dr, Fayetteville, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043311301 | NPI | - | NPPES |
| 8988664 | Medicaid | NC | |
| 50011540 | Other | NC | RAILROAD MEDICARE |
| 88664 | Other | NC | BLUE CROSS BLUE SHIELD |
| 88664 | Other | NC | STATE HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 24316 (North Carolina) | Primary |
| 207LP2900X | Anesthesiology - Pain Medicine | 24316 (North Carolina) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Larry Dale Withers, MD Po Box 53844, Fayetteville, NC 28305-3844 Ph: (910) 323-8594 | Dr Larry Dale Withers, MD 1638 Owen Dr, Fayetteville, NC 28304-3424 Ph: (910) 323-8594 |
Dr. Za'vette Mignon Tatum-kodzai, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-323-8594 Fax: 910-323-5795 | |
Dr. Sanjay Bachubhai Shah, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-323-8594 Fax: 910-323-5795 | |
Dr. Bryant Armond Murphy, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-323-8594 | |
Nathan James Laborde, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-6700 | |
Dr. Whitney Kern Braddy, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2153 Valleygate Dr Ste 102, Fayetteville, NC 28304 Phone: 910-321-7246 Fax: 910-321-7245 | |
Melissa Jean Lamrissi, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-6700 |