Cape Fear Valley Health Medical Group LLC
Family Medicine in Fayetteville, NC. Organization (NPI-2).
NPI number1104740802
StatusActive
Last updated in NPPESNov 4, 2026
Details
- NPI
- 1104740802
- Entity type
- Organization (NPI-2)
- Legal business name
- Cape Fear Valley Health Medical Group LLC
- Organization subpart
- Yes
- Enumeration date
- Aug 5, 2026
- Certification date
- Nov 4, 2026
- Last updated
- Nov 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Cape Fear Valley Virtual Care (Doing Business As)
Practice location
6201 Raeford RdFayetteville, NC 28304-2425
Phone 910-609-3780 · Fax 910-615-9663
Mailing address
Po Box 40908Fayetteville, NC 28309-0908
Phone 910-615-6949
Authorized official
Joseph Barton Fiser
Vp Managed Care/Revenue Cycle
9106155572
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