| Valley Infectious Disease Care | |
|
101 Robeson St Ste 300a Fayetteville NC 28301-5520 | |
| (910) 609-1282 | |
| (910) 609-1276 |
| Full Name | Valley Infectious Disease Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 Robeson St Ste 300a, Fayetteville, North Carolina |
| Authorized Official Name and Position | Joseph B Fiser (VP MANAGED CARE AND REVENUE CYCLE) |
| Authorized Official Contact | 9106155572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Infectious Disease Care Po Box 40908 Fayetteville NC 28309-0908 Ph: (910) 615-6949 | Valley Infectious Disease Care 101 Robeson St Ste 300a Fayetteville NC 28301-5520 Ph: (910) 609-1282 |
| NPI Number | 1891787222 |
|---|---|
| Provider Enumeration Date | 08/22/2005 |
| Last Update Date | 01/19/2024 |
| Medicare PECOS PAC ID | 4587560149 |
|---|---|
| Medicare Enrollment ID | O20081115000163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891787222 | NPI | - | NPPES |
| 89014T4 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | H0213 (North Carolina) | Primary |
| Provider Name | Athar Tehsin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477658250 PECOS PAC ID: 8729973433 Enrollment ID: I20070214000302 |
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