| Fayetteville Urgent Care & Family Medicine, Llc | |
|
4155 Ferncreek Dr Ste 102 Fayetteville NC 28314-2576 | |
| (910) 425-5999 | |
| (910) 221-1062 |
| Full Name | Fayetteville Urgent Care & Family Medicine, Llc |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 4155 Ferncreek Dr Ste 102, Fayetteville, North Carolina |
| Authorized Official Name and Position | Godfrey Fondinka (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9104255999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fayetteville Urgent Care & Family Medicine, Llc 4155 Ferncreek Dr Ste 102 Fayetteville NC 28314-2576 Ph: (910) 425-5999 | Fayetteville Urgent Care & Family Medicine, Llc 4155 Ferncreek Dr Ste 102 Fayetteville NC 28314-2576 Ph: (910) 425-5999 |
| NPI Number | 1891060398 |
|---|---|
| Provider Enumeration Date | 03/16/2012 |
| Last Update Date | 05/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891060398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200301461 (North Carolina) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | 200301461 (North Carolina) | Primary |
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