Provider Demographics
NPI:1154393080
Name:MAY-DEPAOLA, BRENDA (DO)
Entity type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:
Last Name:MAY-DEPAOLA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3634 CAPE CENTER DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-4406
Mailing Address - Country:US
Mailing Address - Phone:910-485-6470
Mailing Address - Fax:910-485-8198
Practice Address - Street 1:3634 CAPE CENTER DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-4406
Practice Address - Country:US
Practice Address - Phone:910-485-6470
Practice Address - Fax:910-485-8198
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS010045L207RC0000X
VA0102201331207RC0000X
NC200701923207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease