| Cardinal Clinic L.l.c. | |
|
1540 Purdue Dr Ste 200 Fayetteville NC 28303-5510 | |
| (910) 867-8889 | |
| (910) 487-3061 |
| Full Name | Cardinal Clinic L.l.c. |
|---|---|
| Speciality | Counselor |
| Location | 1540 Purdue Dr Ste 200, Fayetteville, North Carolina |
| Authorized Official Name and Position | Tony Garcia (QM COORDINATOR) |
| Authorized Official Contact | 9108640187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardinal Clinic L.l.c. 1540 Purdue Dr Ste 200 Fayetteville NC 28303-5510 Ph: (910) 867-8889 | Cardinal Clinic L.l.c. 1540 Purdue Dr Ste 200 Fayetteville NC 28303-5510 Ph: (910) 867-8889 |
| NPI Number | 1700967395 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 05/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700967395 | NPI | - | NPPES |
| 6005134 | Medicaid | NC | |
| 6005172 | Medicaid | NC |
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