Fayetteville Internal Medicine Pllc
NPI #1417684135 in Fayetteville, North Carolina
Provider Information
- NPI Number
- 1417684135
- Entity Type
- Organization
- Organization Name
- Fayetteville Internal Medicine Pllc
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Aug 3, 2022
- Last Updated
- Dec 2, 2024
Practice Location
- Address
- 1766 METROMEDICAL DR
- City
- Fayetteville
- State
- North Carolina
- ZIP Code
- 28304-3861
- Phone
- (910) 483-4856
Authorized Official
- Name
- JENNIFER FORTIN
- Title
- OFFICE MANAGER
- Phone
- (910) 483-4680
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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