Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Owen Drive Surgical Clinic, PA

Organization Surgery Physician · NPI 1922104066

Owen Drive Surgical Clinic, PA provides Surgery Physician services in Fayetteville, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1617 Owen Dr
Fayetteville, NC 28304-3425 Not confirmed with CMS for 17 years — call before visiting
Phone: (910) 484-0101
Fax: (910) 484-2563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1922104066
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debi Chaudhuri — President · (910) 484-0101
NPI enumeratedSeptember 16, 2006
Last updated in NPPESOctober 7, 2009
Mailing addressPo Box 1615, Etowah, NC 28729-1615

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