NORTHWOOD MEDICAL CENTER P.A. NPI 1164688032

NPI Information

NORTHWOOD MEDICAL CENTER, P.A. is a primary care clinic center in Fayetteville, NC. NORTHWOOD MEDICAL CENTER, P.A. NPI is 1164688032. The provider is registered as an organization entity type.

The provider's business location address is:

116 COUNTRY CLUB DR
FAYETTEVILLE, NC
ZIP 28301-604
Phone: (910) 488-0157
Fax: (910) 488-0293

The provider's authorized official is Sasan S Araghi .
The authorized official title is President and has the following contact phone number (910) 488-0157.

The CLIA number assigned to this NPI record is 34D1092372 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2008 and was last updated on 7/31/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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