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3625 Cape Center Dr Fayetteville NC 28304-4457 | |
(910) 483-6114 | |
(910) 483-6225 |
Full Name | |
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Speciality | Family Medicine |
Location | 3625 Cape Center Dr, Fayetteville, North Carolina |
Authorized Official Name and Position | Mickey Foster (CEO) |
Authorized Official Contact | 9107154473 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3625 Cape Center Dr Fayetteville NC 28304-4457 Ph: (910) 483-6114 | 3625 Cape Center Dr Fayetteville NC 28304-4457 Ph: (910) 483-6114 |
NPI Number | 1295583797 |
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Provider Enumeration Date | 05/09/2024 |
Last Update Date | 01/06/2025 |
Identifier | Type | State | Issuer |
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1295583797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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