Hope Medical Clinic | |
3609 Cape Center Dr Fayetteville NC 28304-4457 | |
(910) 500-0909 | |
(910) 920-4224 |
Full Name | Hope Medical Clinic |
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Speciality | Internal Medicine |
Location | 3609 Cape Center Dr, Fayetteville, North Carolina |
Authorized Official Name and Position | Hanna Z Iyasu (CHIEF FINANCE OFFICER) |
Authorized Official Contact | 9105000909 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hope Medical Clinic 3609 Cape Center Dr Fayetteville NC 28304-4457 Ph: (910) 500-0909 | Hope Medical Clinic 3609 Cape Center Dr Fayetteville NC 28304-4457 Ph: (910) 500-0909 |
NPI Number | 1982270567 |
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Provider Enumeration Date | 06/03/2021 |
Last Update Date | 12/05/2023 |
Medicare PECOS PAC ID | 9638573934 |
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Medicare Enrollment ID | O20210809003216 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982270567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Solomon Tewolde Ghebregziabiher |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518235431 PECOS PAC ID: 5991952426 Enrollment ID: I20120905000676 |
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