Deidra Blanks, MD
Deidra Blanks, MD is an Otolaryngology in Fayetteville, North Carolina. Graduated from Brody School of Medicine at East Carolina University in 2004, 22 years ago. Practices with Fayetteville Otolaryngology Head and Neck Surgery PA, a 7-clinician group and accepts Medicare assignment. Licensed in Missouri and North Carolina.
- Years since qualifying
- 22
- Trained at
- Brody School of Medicine at East Carolina University
- Licensed in
- MO, NC
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1839 Quiet CvFayetteville, NC 28304-3857
Phone: (910) 323-1463
Fax: (910) 323-1575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology/Facial Plastic Surgery Physician (primary) | Taxonomy 207YX0905X · Licence 2006-00621 (NC) |
|---|---|
| Otology & Neurotology Physician | Taxonomy 207YX0901X · Licence 2006-00621 (NC) |
| Otolaryngology/Facial Plastic Surgery Physician | Taxonomy 207YX0905X · Licence 2011003947 (MO) |
Record details
| NPI number | 1619170529 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 7, 2007 |
| Last updated in NPPES | June 11, 2021 |
| Certification date | June 11, 2021 |
Medicare enrollment
| Medicare specialty | OTOLARYNGOLOGY |
|---|---|
| Also practises | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Medical school | BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY |
| Graduated | 2004 (22 years in practice) |
| Group practice | Fayetteville Otolaryngology Head And Neck Surgery P.A. — 7 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Fayetteville
-
Dr. Edward Ernest Dickerson, IV, MD
2053 Valleygate Dr Ste 102, Fayetteville, NC 28304-3983 · (910) 323-9222