FAYETTEVILLE URGENT CARE & FAMILY MEDICINE LLC NPI 1891060398

NPI Information

FAYETTEVILLE URGENT CARE & FAMILY MEDICINE, LLC is an urgent care clinic center in Fayetteville, NC. FAYETTEVILLE URGENT CARE & FAMILY MEDICINE, LLC NPI is 1891060398. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4155 FERNCREEK DR STE 102
FAYETTEVILLE, NC
ZIP 28314-576
Phone: (910) 425-5999
Fax: (910) 221-1062

The provider's authorized official is Godfrey Fondinka .
The authorized official title is Medical Director and has the following contact phone number (910) 425-5999.

The CLIA number assigned to this NPI record is 34D2041919 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/16/2012 and was last updated on 5/26/2021.

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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