Fayetteville Family Extended Care

NPI 1710977681 - Family Medicine - 207Q00000X

NPI Details
NPI 1710977681
Enumeration Date 10/24/2005
Last Updated 04/18/2012
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name ALICE M ALICE
Position ADMINISTRATOR
Phone (910) 323-1718
Fax (910) 323-5701
Practice Location
1307 AVON ST
FAYETTEVILLE NC, 28304-4423, US
Phone (910) 323-1718
Fax (910) 323-5701
Business Location
1307 AVON ST
FAYETTEVILLE NC, 28304-4423, US
Phone (910) 323-1718
Fax (910) 323-5701
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Fayetteville Family Extended Care NPI is 1710977681, taxonomy code is 207Q00000X Fayetteville Family Extended Care physically located at 1307 Avon St, Fayetteville NC, 28304-4423. NPI Number 1033115704 has the healthcare provider type.

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1710977681 NPI number is provided on an as is basis without warranty of any kind. 1710977681 is maintained by the National Plan & Provider Enumeration System. The contents of Fayetteville Family Extended Care are for informational purposes only.