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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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2279H0200X · FAYETTEVILLE, NC

Registration Details

NPI Number
1114678711
Provider Type
Individual
Gender
Female
NPI Issued
Jan 14, 2022 (4.2698092325124 yrs)
Last Updated
Jan 14, 2022
Licenses
HC6427 (NC)
HC6427 (NC)

Practice Information

Address
2665 JOHN SMITH RD STE B
FAYETTEVILLE, NC, 283062623
Browse NC providers · Browse ZIP 28306
Phone
9104763859
Primary Specialty
2279H0200X
2279H0200X
Additional Specialty
Home Health Aide
Additional Specialty
2279H0200X

Other 2279H0200X Providers in FAYETTEVILLE, NC

Name Credential NPI
JOHN TAYLOR JR. RRT, RCP 1407116403
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.