Ferncreek Cardiology PA
Internal Medicine, Cardiovascular Disease in Fayetteville, NC. Organization (NPI-2).
NPI number1104144914
StatusActive
Last updated in NPPESJun 20, 2016
Details
- NPI
- 1104144914
- Entity type
- Organization (NPI-2)
- Legal business name
- Ferncreek Cardiology PA
- Organization subpart
- No
- Enumeration date
- May 5, 2010
- Last updated
- Jun 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 2007-00976 | NC | Yes |
Practice location
3650 Cape Center DrFayetteville, NC 28304-2139
Phone 910-483-0049 · Fax 910-339-8905
Mailing address
3650 Cape Center DrFayetteville, NC 28304-2139
Phone 910-483-0049 · Fax 910-339-8905
Authorized official
Matthew A Daka
President
9104830049
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