| Kog Integrated Healthcare | |
|
1248 Fort Bragg Rd Ste 200 Fayetteville NC 28305-4982 | |
| (984) 229-9005 | |
| (919) 362-0769 |
| Full Name | Kog Integrated Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 1248 Fort Bragg Rd Ste 200, Fayetteville, North Carolina |
| Authorized Official Name and Position | David Parker (MD/OWNER) |
| Authorized Official Contact | 9842299005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kog Integrated Healthcare 1248 Fort Bragg Rd Ste 200 Fayetteville NC 28305-4982 Ph: (984) 229-9005 | Kog Integrated Healthcare 1248 Fort Bragg Rd Ste 200 Fayetteville NC 28305-4982 Ph: (984) 229-9005 |
| NPI Number | 1922853514 |
|---|---|
| Provider Enumeration Date | 04/18/2024 |
| Last Update Date | 04/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922853514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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