Graceful Aging,pc
NPI #1316259013 in Fayetteville, North Carolina
Provider Information
- NPI Number
- 1316259013
- Entity Type
- Organization
- Organization Name
- Graceful Aging,pc
- Primary Specialty
- Family Medicine - Geriatric Medicine
- Enumeration Date
- Jul 9, 2010
- Last Updated
- Jul 9, 2010
Practice Location
- Address
- 2732 BARDOLINO DR
- City
- Fayetteville
- State
- North Carolina
- ZIP Code
- 28306-4636
- Phone
- (910) 868-6477
Authorized Official
- Name
- DR. SUSANNAH OGUNWO, M.D.
- Title
- PRESIDENT
- Phone
- (910) 868-6477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Geriatric Medicine — Geriatric Medicine |
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