Fayetteville Family Extended Care
Fayetteville Family Extended Care provides Family Medicine Physician services in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.
- Licensed in
- NC
- In the registry since
- 2005
Practice location Address checks out
1307 Avon StFayetteville, NC 28304-4423 Not confirmed with CMS for 14 years — call before visiting
Phone: (910) 323-1718
Fax: (910) 323-5701
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X (NC) |
|---|
Record details
| NPI number | 1710977681 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alice Kugler — Administrator · (910) 323-1718 |
| NPI enumerated | October 24, 2005 |
| Last updated in NPPES | April 18, 2012 |
| Mailing address | 1307 Avon St, Fayetteville, NC 28304-4423 |
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