# HERITAGE FAMILY PHYSICIANS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Health Pavilion Family Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003818485
- **Authorized official:** JOSEPH FISER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (910) 615-5572

## Contact information

- **Practice address:** 6387 RAMSEY ST UNIT 210, FAYETTEVILLE, NC 28311-9442
- **Practice address phone:** (910) 615-3920
- **Practice address fax:** (910) 321-6221
- **Mailing address:** 1638 OWEN DRIVE, ATTN: MANAGED CARE PLANNING, FAYETTEVILLE, NC 28304
- **Mailing address phone:** (910) 615-6949
- **Mailing address fax:** (910) 615-9761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2005
- **Last updated:** 01/19/2024