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2356 John Smith Rd Ste 101 Fayetteville NC 28306-4009 | |
(910) 339-2274 | |
(910) 703-8712 |
Full Name | |
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Speciality | Family Medicine |
Location | 2356 John Smith Rd Ste 101, Fayetteville, North Carolina |
Authorized Official Name and Position | Joseph Barton Fiser (VP MANAGED CARE AND REVENUE CYCLE) |
Authorized Official Contact | 9106155572 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 40908 Attn: Managed Care Planning Fayetteville NC 28309-0908 Ph: (910) 615-6949 | 2356 John Smith Rd Ste 101 Fayetteville NC 28306-4009 Ph: (910) 339-2274 |
NPI Number | 1366984403 |
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Provider Enumeration Date | 11/07/2016 |
Last Update Date | 01/16/2025 |
Identifier | Type | State | Issuer |
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1366984403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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