Provider Demographics
NPI:1043271158
Name:BINZ, DONALD EDWARD II (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:EDWARD
Last Name:BINZ
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3599 GEORGE II HWY
Mailing Address - Street 2:
Mailing Address - City:SOUTHPORT
Mailing Address - State:NC
Mailing Address - Zip Code:28461-9625
Mailing Address - Country:US
Mailing Address - Phone:910-845-3244
Mailing Address - Fax:910-845-3276
Practice Address - Street 1:3599 GEORGE II HWY
Practice Address - Street 2:
Practice Address - City:SOUTHPORT
Practice Address - State:NC
Practice Address - Zip Code:28461-9625
Practice Address - Country:US
Practice Address - Phone:910-845-3244
Practice Address - Fax:910-845-3276
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR8A35207Q00000X
NC2023-00828207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO202103404Medicaid
MOA09731Medicare UPIN
MO067010556Medicare ID - Type Unspecified