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FAYETTEVILLE INTERNAL MEDICINE PLLC NPI 1417684135


NPI Information

NPI: 1417684135
Provider Name: FAYETTEVILLE INTERNAL MEDICINE PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1778 METROMEDICAL DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 483-4856
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FAYETTEVILLE INTERNAL MEDICINE PLLC is a family medicine in Fayetteville, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAYETTEVILLE INTERNAL MEDICINE PLLC NPI is 1417684135. The provider is registered as an organization entity type.

The provider's business location address is:

1778 METROMEDICAL DR
FAYETTEVILLE, NC
ZIP 28304-861
Phone: (910) 483-4856

The provider's authorized official is Buffy Jacobs .
The authorized official title is Office Manager and has the following contact phone number (910) 491-3947.

The enumeration date for this NPI number is 8/3/2022 and was last updated on 4/28/2023.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareNo
2207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.