Marvista

NPI #1104064401 in Fayetteville, North Carolina

Provider Information

NPI Number: 1104064401
Entity Type: Organization
Organization Name: Marvista
Primary Specialty: Specialist
Enumeration Date: Jan 26, 2009
Last Updated: Jan 26, 2009

Practice Location

Address: 4140 FERNCREEK DR
Address 2: SUITE 802
City: Fayetteville
State: North Carolina
ZIP Code: 28314-2563
Phone: (910) 486-7081

Authorized Official

Name: MRS. MELISSA WILSON BARNES
Title: OFFICE MANAGER
Phone: (910) 486-7081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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