PURA CLINIC FAMILY MEDICINE PC NPI 1609296128

NPI Information

PURA CLINIC FAMILY MEDICINE PC is an urgent care clinic center in Fayetteville, NC. PURA CLINIC FAMILY MEDICINE PC NPI is 1609296128. The provider is registered as an organization entity type.

The provider's business location address is:

124 BAYWOOD RD
SUITE 111
FAYETTEVILLE, NC
ZIP 28312-733
Phone: (910) 829-5108
Fax: (910) 829-5107

The provider's authorized official is Mohamad A. Shakir .
The authorized official title is Owner and has the following contact phone number (910) 829-5108.

The CLIA number assigned to this NPI record is 34D2074745 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2014 and was last updated on 4/23/2014.

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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