| Cape Fear Valley Primary Care - Angier | |
|
1535 N Raleigh St Angier NC 27501-8920 | |
| (919) 331-2477 | |
| (919) 331-2481 |
| Full Name | Cape Fear Valley Primary Care - Angier |
|---|---|
| Speciality | Family Medicine |
| Location | 1535 N Raleigh St, Angier, North Carolina |
| Authorized Official Name and Position | Joseph Fiser (VP CORP REV CYCLE/MANAGED CARE) |
| Authorized Official Contact | 9106155572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cape Fear Valley Primary Care - Angier Po Box 1706 Dunn NC 28335-1706 Ph: () - | Cape Fear Valley Primary Care - Angier 1535 N Raleigh St Angier NC 27501-8920 Ph: (919) 331-2477 |
| NPI Number | 1760717151 |
|---|---|
| Provider Enumeration Date | 10/02/2009 |
| Last Update Date | 10/12/2024 |
| Medicare PECOS PAC ID | 8527106319 |
|---|---|
| Medicare Enrollment ID | O20091116000604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760717151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Brad Everette Butler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215982475 PECOS PAC ID: 9133132723 Enrollment ID: I20060727000113 |
| Provider Name | Amber J Renn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407903743 PECOS PAC ID: 2668566076 Enrollment ID: I20070917000118 |
| Provider Name | Samantha Brown Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831955574 PECOS PAC ID: 4284071861 Enrollment ID: I20240319000161 |
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