Provider Demographics
NPI:1912985482
Name:SERAFIN, DONALD (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:
Last Name:SERAFIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 ANDERSON ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-1054
Mailing Address - Country:US
Mailing Address - Phone:919-220-7711
Mailing Address - Fax:919-220-7722
Practice Address - Street 1:511 RUIN CREEK RD
Practice Address - Street 2:#104B
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-5919
Practice Address - Country:US
Practice Address - Phone:252-438-8252
Practice Address - Fax:919-220-7722
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14298208200000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC128PPOtherBCBSNC
NC89128PPMedicaid
NC2103088CMedicare ID - Type UnspecifiedCIGNA MEDICARE
NC128PPOtherBCBSNC