1346422284 NPI number — DR. TAWNIA HOPE KEY AUD

Table of content: DR. TAWNIA HOPE KEY AUD (NPI 1346422284)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346422284 NPI number — DR. TAWNIA HOPE KEY AUD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KEY
Provider First Name:
TAWNIA
Provider Middle Name:
HOPE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
AUD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346422284
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/01/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CAPE FEAR VALLEY HEALTH SYSTEM ATTN: SPEECH/AUDIO
Provider Second Line Business Mailing Address:
1638 OWEN DR. PO BOX 2000
Provider Business Mailing Address City Name:
FAYETTEVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28302
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
910-609-4060
Provider Business Mailing Address Fax Number:
910-609-5480

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CAPE FEAR VALLEY HEALTH SYSTEM
Provider Second Line Business Practice Location Address:
1638 OWEN DR.
Provider Business Practice Location Address City Name:
FAYETTEVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-609-4060
Provider Business Practice Location Address Fax Number:
910-609-5480
Provider Enumeration Date:
12/03/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  5760 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)