# US ARMY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003051210
- **Authorized official:** CHRISTOPHER SCOTT BRACKMAN APA-C (PA)
- **Authorized official phone:** (910) 988-6117

## Contact information

- **Practice address:** 5587 LOCKRIDGE ROAD, FAYETTEVILLE, NC 28311
- **Practice address phone:** (910) 988-6117
- **Mailing address:** 5587 LOCKRIDGE RD, FAYETTEVILLE, NC 28311-0240
- **Mailing address phone:** (910) 988-6117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | 0010-01314 | NC | Yes |

## Other

- **Enumeration date:** 12/03/2008
- **Last updated:** 12/03/2008