| Cape Fear Valley Health Medical Group Llc | |
|
225 Brightwater Dr Ste 230 Lillington NC 27546-5156 | |
| (910) 984-3770 | |
| (910) 984-3771 |
| Full Name | Cape Fear Valley Health Medical Group Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 225 Brightwater Dr, Lillington, North Carolina |
| Authorized Official Name and Position | Joseph Barton Fiser (VP REVENUE CYCLE/MANAGED CARE) |
| Authorized Official Contact | 9106155572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cape Fear Valley Health Medical Group Llc Po Box 40908 Fayetteville NC 28309-0908 Ph: (910) 615-6949 | Cape Fear Valley Health Medical Group Llc 225 Brightwater Dr Ste 230 Lillington NC 27546-5156 Ph: (910) 984-3770 |
| NPI Number | 1437970878 |
|---|---|
| Provider Enumeration Date | 10/18/2024 |
| Last Update Date | 10/18/2024 |
| Certification Date | 10/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437970878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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