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A Woman Place In Fayetteville LLC

Obstetrics & Gynecology in Fayetteville, NC. Organization (NPI-2).

NPI number1194126250
StatusActive
Last updated in NPPESSep 9, 2014

Details

NPI
1194126250
Entity type
Organization (NPI-2)
Legal business name
A Woman Place In Fayetteville LLC
Organization subpart
Yes
Enumeration date
Sep 9, 2014
Last updated
Sep 9, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & Gynecology––Yes

Practice location

2053 Valley Gate Drive
Suite 201
Fayetteville, NC 28304-3983

Phone 910-485-8626 · Fax 910-484-9012

Mailing address

1501 Yamato Rd
Suite 200 West
Boca Raton, FL 33431-4438

Phone 561-300-2410 · Fax 561-953-4146

Authorized official

Kathryn Garrett
Director, Managed Care
5613002410

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