| Premier Physicians, Pc | |
|
1357 Walter Reed Rd Ste #102 Fayetteville NC 28304 | |
| (910) 221-3017 | |
| (910) 221-3018 |
| Full Name | Premier Physicians, Pc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1357 Walter Reed Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Rebecca S. Tat (PHYSICIAN SECRETARY) |
| Authorized Official Contact | 9102213017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Physicians, Pc 1357 Walter Reed Rd Suite 102 Fayetteville NC 28304-4416 Ph: (910) 221-3017 | Premier Physicians, Pc 1357 Walter Reed Rd Ste #102 Fayetteville NC 28304 Ph: (910) 221-3017 |
| NPI Number | 1639283567 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 05/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639283567 | NPI | - | NPPES |
| 016CX | Other | NC | BCBS |
| 89016CX | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
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