FAYETTEVILLE FAMILY MEDICAL CARE, PA
1307 Avon St
Fayetteville, NC 28304
910-323-1718
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 207Q00000X | Allopathic & Osteopathic Physicians - Family Medicine - |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS | 01559 | OTHER | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 3442124 | OTHER | |
8901559 | NC | MEDICAID |