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Cape Fear Valley Health Medical Group LLC

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Fayetteville, NC. Organization (NPI-2).

NPI number1104767508
StatusActive
Last updated in NPPESApr 8, 2026

Details

NPI
1104767508
Entity type
Organization (NPI-2)
Legal business name
Cape Fear Valley Health Medical Group LLC
Organization subpart
Yes
Enumeration date
Apr 2, 2026
Certification date
Apr 8, 2026
Last updated
Apr 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)––Yes

Other names

  • Cape Fear Valley Medical Center-Cardiovascular & Thoracic Surgery Clinic (Doing Business As)

Practice location

1638 Owen Dr
Fayetteville, NC 28304-3424

Phone 910-672-0350 · Fax 910-672-0355

Mailing address

Po Box 40908
Fayetteville, NC 28309-0908

Phone 910-615-6949

Authorized official

Joseph Barton Fiser
Vp Managed Care/Revenue Cycle
9106155572

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