| Regional Diabetes And Endocrine Center | |
|
101 Robeson St Ste 405 Fayetteville NC 28301-5520 | |
| (910) 615-1623 | |
| (910) 321-6248 |
| Full Name | Regional Diabetes And Endocrine Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 Robeson St Ste 405, Fayetteville, North Carolina |
| Authorized Official Name and Position | Joseph B Fiser (VP CORPORATE REVEUNE CYCLE) |
| Authorized Official Contact | 9106155572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regional Diabetes And Endocrine Center Po Box 40908 Fayetteville NC 28309-0908 Ph: (910) 615-6448 | Regional Diabetes And Endocrine Center 101 Robeson St Ste 405 Fayetteville NC 28301-5520 Ph: (910) 615-1623 |
| NPI Number | 1962404384 |
|---|---|
| Provider Enumeration Date | 08/15/2005 |
| Last Update Date | 06/28/2023 |
| Medicare PECOS PAC ID | 5092701771 |
|---|---|
| Medicare Enrollment ID | O20050524000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962404384 | NPI | - | NPPES |
| 89104UR | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | H0213 (North Carolina) | Primary |
| Provider Name | Nduche Chika Onyeaso |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1497045496 PECOS PAC ID: 6204074958 Enrollment ID: I20140801000966 |
| Provider Name | Anju Gurung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225285042 PECOS PAC ID: 4981728979 Enrollment ID: I20160809000363 |
| Provider Name | Ashley Nicole Stone |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013536234 PECOS PAC ID: 4981025087 Enrollment ID: I20200527003037 |
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