| Mohammad A Sabur Nasiri | |
|
508 Sandhurst Dr Fayetteville NC 28304-4434 | |
| (910) 485-0900 | |
| (910) 485-0080 |
| Full Name | Mohammad A Sabur Nasiri |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 508 Sandhurst Dr, Fayetteville, North Carolina |
| Authorized Official Name and Position | Mohammad Sabur Nasiri (OWNER) |
| Authorized Official Contact | 9104850900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammad A Sabur Nasiri 508 Sandhurst Dr Fayetteville NC 28304-4434 Ph: (910) 485-0900 | Mohammad A Sabur Nasiri 508 Sandhurst Dr Fayetteville NC 28304-4434 Ph: (910) 485-0900 |
| NPI Number | 1295943223 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295943223 | NPI | - | NPPES |
| 6961881 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | 35740 (North Carolina) | Primary |
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