<unavail> in Fayetteville, NC

is a primary clinic (Clinic/center - Primary Care) in Fayetteville, North Carolina. The current practice location for is 1074 Southern Ave, Fayetteville, North Carolina. For appointments, you can reach them via phone at (910) 221-1590. The mailing address for is 1074 Southern Avenue, Fayetteville, North Carolina and phone number is (910) 221-1590.

is licensed to practice in North Carolina (license number 128677) and its NPI number is 1750490876. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (910) 221-1590.

Contact Information


	1074 Southern Ave Fayetteville NC 28306
	(910) 221-1590
	(910) 221-1594

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Primary Care
Location	1074 Southern Ave, Fayetteville, North Carolina
Authorized Official Name and Position	Jonna Lynn Squires (INSURANCE BILLER)
Authorized Official Contact	9102211590
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1074 Southern Avenue Fayetteville NC 28306 Ph: (910) 221-1590	1074 Southern Ave Fayetteville NC 28306 Ph: (910) 221-1590

NPI Details:

NPI Number	1750490876
Provider Enumeration Date	08/30/2006
Last Update Date	04/23/2013

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750490876	NPI	-	NPPES
59-01572	Medicaid	NC
014A1	Other	NC	BCBS
014A1	Other	NC	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	128677 (North Carolina)	Primary
261QU0200X	Clinic/center - Urgent Care	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in Fayetteville, NC

Massey Hill Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1074 Southern Ave, Fayetteville, NC 28306 Phone: 910-723-5693
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6387 Ramsey St Unit 210, Fayetteville, NC 28311 Phone: 910-615-3920 Fax: 910-321-6221
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5085 Morganton Rd, Fayetteville, NC 28314 Phone: 910-864-4357 Fax: 910-221-0099
Breezewood Healthcare, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Forsythe St, Fayetteville, NC 28303 Phone: 910-485-0700 Fax: 910-483-9572
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6650 Ramsey St, Fayetteville, NC 28311 Phone: 910-630-5203
Greenbrook Tms Fayetteville Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1991 Fordham Dr Ste 202, Fayetteville, NC 28304 Phone: 855-910-4867
Id Care Of Nc Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1319 Avon St, Fayetteville, NC 28304 Phone: 910-729-6552 Fax: 910-500-1002

- Primary Care in Fayetteville, NC