is a Health Service in , . practices all healthcare services and medical treatments related to Health Service. The NPI Number for is 1861601072. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
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| Address | , , |
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| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1861601072 |
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| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | |
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| City | |
| State | () |
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Provider's Primary Taxonomy Detail
| Speciality | Health Service |
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| Taxonomy | 261Qh0100X |
| Licence No | 601 959 767 |
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Definition: Provides general outpatient medical care by physicians and other providers. |
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NPI Number: 1841293149
Address: Po Box 40908, Fayetteville, NC