| Carolina Family Practice Centre, Pa | |
|
2500 Village Dr Ste 100 Fayetteville NC 28304-3811 | |
| (910) 485-1700 | |
| Not Available |
| Full Name | Carolina Family Practice Centre, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 2500 Village Dr Ste 100, Fayetteville, North Carolina |
| Authorized Official Name and Position | Jorge Franco (OWNER) |
| Authorized Official Contact | 9104766868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Family Practice Centre, Pa 2500 Village Dr Ste 100 Fayetteville NC 28304-3982 Ph: () - | Carolina Family Practice Centre, Pa 2500 Village Dr Ste 100 Fayetteville NC 28304-3811 Ph: (910) 485-1700 |
| NPI Number | 1548358526 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 03/19/2024 |
| Medicare PECOS PAC ID | 6204870553 |
|---|---|
| Medicare Enrollment ID | O20050616001102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548358526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jorge Luis Franco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164556718 PECOS PAC ID: 4385688647 Enrollment ID: I20050618000160 |
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