| Cardinal Clinic, Llc | |
|
1540 Purdue Dr Ste 200 Fayetteville NC 28303-5510 | |
| (910) 867-8889 | |
| (910) 487-3061 |
| Full Name | Cardinal Clinic, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1540 Purdue Dr Ste 200, Fayetteville, North Carolina |
| Authorized Official Name and Position | Carol E. Doyle (QUALITY MANAGEMENT DIRECTOR) |
| Authorized Official Contact | 9102226234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardinal Clinic, Llc 1540 Purdue Dr Ste 200 Fayetteville NC 28303-5510 Ph: (910) 867-8889 | Cardinal Clinic, Llc 1540 Purdue Dr Ste 200 Fayetteville NC 28303-5510 Ph: (910) 867-8889 |
| NPI Number | 1437373578 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437373578 | NPI | - | NPPES |
| 5900672 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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