| Express Care Of Health Pavilion North | |
|
6387 Ramsey St Suite 100 Fayetteville NC 28311-9420 | |
| (910) 609-3879 | |
| (910) 321-6219 |
| Full Name | Express Care Of Health Pavilion North |
|---|---|
| Speciality | Family Medicine |
| Location | 6387 Ramsey St, Fayetteville, North Carolina |
| Authorized Official Name and Position | Michael Nagowski (CEO) |
| Authorized Official Contact | 9106096700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Express Care Of Health Pavilion North Po Box 40908 Fayetteville NC 28309-0908 Ph: (910) 609-6448 | Express Care Of Health Pavilion North 6387 Ramsey St Suite 100 Fayetteville NC 28311-9420 Ph: (910) 609-3879 |
| NPI Number | 1497758023 |
|---|---|
| Provider Enumeration Date | 05/27/2005 |
| Last Update Date | 03/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497758023 | NPI | - | NPPES |
| 890169P | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H0123 (North Carolina) | Primary |
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