| Cape Fear Valley Health Medical Group Llc | |
|
300 Medical Pavilion Dr Ste 170 Raeford NC 28376-0019 | |
| (910) 904-8200 | |
| (910) 615-3201 |
| Full Name | Cape Fear Valley Health Medical Group Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Sleep Medicine |
| Location | 300 Medical Pavilion Dr Ste 170, Raeford, North Carolina |
| Authorized Official Name and Position | Joseph Barton Fiser (VP MANAGED CARE AND REVENUE CYCLE) |
| 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 300 Medical Pavilion Dr Ste 170 Raeford NC 28376-0019 Ph: (910) 904-8200 |
| NPI Number | 1053130609 |
|---|---|
| Provider Enumeration Date | 10/09/2024 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053130609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Primary |
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