W a Willis MD PA
NPI #1952662900 in Fayetteville, North Carolina
Provider Information
- NPI Number
- 1952662900
- Entity Type
- Organization
- Organization Name
- W a Willis MD PA
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Jun 6, 2012
- Last Updated
- Jun 6, 2012
Practice Location
- Address
- 2850 VILLAGE DR
- Address 2
- SUITE 103
- City
- Fayetteville
- State
- North Carolina
- ZIP Code
- 28304-3869
- Phone
- (910) 223-9801
Authorized Official
- Name
- PHYLLIS L CARTER
- Title
- OFFICE ADMINSTRATOR
- Phone
- (910) 391-4588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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