| Breezewood Family Healthcare, Pa | |
|
200 Forsythe St Fayetteville NC 28303-5426 | |
| (910) 485-0700 | |
| (910) 483-9572 |
| Full Name | Breezewood Family Healthcare, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 200 Forsythe St, Fayetteville, North Carolina |
| Authorized Official Name and Position | Michael J. Jansen (ADMINISTRATOR) |
| Authorized Official Contact | 9104850700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breezewood Family Healthcare, Pa Po Box 87448 Fayetteville NC 28304-7448 Ph: (910) 485-0700 | Breezewood Family Healthcare, Pa 200 Forsythe St Fayetteville NC 28303-5426 Ph: (910) 485-0700 |
| NPI Number | 1356404453 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356404453 | NPI | - | NPPES |
| 017EM | Other | NC | BCBSNC GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 116914 (North Carolina) | Primary |
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