| Sandhills Physician Of Mental Health Clinic, Pllc | |
|
4155 Ferncreek Dr Suite 102 A Fayetteville NC 28314-2581 | |
| (910) 491-2636 | |
| Not Available |
| Full Name | Sandhills Physician Of Mental Health Clinic, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4155 Ferncreek Dr, Fayetteville, North Carolina |
| Authorized Official Name and Position | Fritz Paul (OWNER) |
| Authorized Official Contact | 9104912636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandhills Physician Of Mental Health Clinic, Pllc 4155 Ferncreek Dr Suite 102 A Fayetteville NC 28314-2581 Ph: (910) 491-2636 | Sandhills Physician Of Mental Health Clinic, Pllc 4155 Ferncreek Dr Suite 102 A Fayetteville NC 28314-2581 Ph: (910) 491-2636 |
| NPI Number | 1225459431 |
|---|---|
| Provider Enumeration Date | 12/16/2013 |
| Last Update Date | 02/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225459431 | NPI | - | NPPES |
| 57205 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2007-00446 (North Carolina) | Primary |
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