Purple Paws, Pllc | |
2005 Hope Mills Rd Fayetteville NC 28304-4224 | |
(910) 635-1685 | |
Not Available |
Full Name | Purple Paws, Pllc |
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Speciality | Clinic/Center |
Location | 2005 Hope Mills Rd, Fayetteville, North Carolina |
Authorized Official Name and Position | Amanda Feagin (OWNER, DR) |
Authorized Official Contact | 9106351592 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Purple Paws, Pllc 2005 Hope Mills Rd Fayetteville NC 28304-4224 Ph: (910) 635-1685 | Purple Paws, Pllc 2005 Hope Mills Rd Fayetteville NC 28304-4224 Ph: (910) 635-1685 |
NPI Number | 1467184663 |
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Provider Enumeration Date | 06/27/2022 |
Last Update Date | 06/27/2022 |
Certification Date | 06/27/2022 |
Medicare PECOS PAC ID | 0345614608 |
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Medicare Enrollment ID | O20230328001839 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467184663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Amanda Feagin |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1700911781 PECOS PAC ID: 8224402581 Enrollment ID: I20230417001504 |
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