| Pbl Healthcare Pa | |
|
514 Beaumont Rd Fayetteville NC 28304-4443 | |
| (910) 485-8831 | |
| (910) 485-8832 |
| Full Name | Pbl Healthcare Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 514 Beaumont Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Bao-anh Ngoc Bui (PRESIDENT/CEO) |
| Authorized Official Contact | 9106442280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pbl Healthcare Pa 3121 Winesap Rd Hope Mills NC 28348-8357 Ph: (910) 644-2280 | Pbl Healthcare Pa 514 Beaumont Rd Fayetteville NC 28304-4443 Ph: (910) 485-8831 |
| NPI Number | 1194055996 |
|---|---|
| Provider Enumeration Date | 12/30/2009 |
| Last Update Date | 12/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194055996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2009-01251 (North Carolina) | Primary |
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