Fortified Med Pllc | |
760c Nw Broad St Southern Pines NC 28387-4102 | |
(916) 431-0236 | |
Not Available |
Full Name | Fortified Med Pllc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 760c Nw Broad St, Southern Pines, North Carolina |
Authorized Official Name and Position | Thomas Skinner (OWNER) |
Authorized Official Contact | 9164310236 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fortified Med Pllc 760c Nw Broad St Southern Pines NC 28387-4102 Ph: (916) 431-0236 | Fortified Med Pllc 760c Nw Broad St Southern Pines NC 28387-4102 Ph: (916) 431-0236 |
NPI Number | 1174204879 |
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Provider Enumeration Date | 07/26/2023 |
Last Update Date | 07/26/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174204879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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