Fayetteville State University
NPI #1063990281 in Fayetteville, North Carolina
Provider Information
- NPI Number
- 1063990281
- Entity Type
- Organization
- Organization Name
- Fayetteville State University
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Jul 31, 2018
- Last Updated
- Nov 24, 2023
Practice Location
- Address
- 1200 MURCHISON ROAD
- Address 2
- STUDENT HEALTH SERVICES
- City
- Fayetteville
- State
- North Carolina
- ZIP Code
- 28301-4252
- Phone
- (910) 672-2602
Authorized Official
- Name
- MRS. IESCHECIA NYTONYA GRAHAM ALLEN, MS, RHIT
- Title
- EXECUTIVE DIRECTOR
- Phone
- (910) 672-2602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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