FERNCREEK CARDIOLOGY PA NPI 1104144914

NPI Information

FERNCREEK CARDIOLOGY PA is a cardiovascular disease internal medicine in Fayetteville, NC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. FERNCREEK CARDIOLOGY PA NPI is 1104144914. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3650 CAPE CENTER DR
FAYETTEVILLE, NC
ZIP 28304-139
Phone: (910) 483-0049
Fax: (910) 339-8905

The provider's authorized official is Matthew A Daka .
The authorized official title is President and has the following contact phone number (910) 483-0049.

The CLIA number assigned to this NPI record is 34D2015075 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/5/2010 and was last updated on 6/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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