# CAPE FEAR FAMILY MEDICAL CARE, PA

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

## Provider details

- **NPI number:** 1215996103
- **Authorized official:** DR. RAYMOND ALBERT GASKINS, JR. M.D. (OWNER)
- **Authorized official phone:** (910) 323-3183

## Contact information

- **Practice address:** 405 OWEN DR, FAYETTEVILLE, NC 28304-3411
- **Practice address phone:** (910) 323-3183
- **Practice address fax:** (910) 223-7555
- **Mailing address:** 405 OWEN DR, FAYETTEVILLE, NC 28304-3411
- **Mailing address phone:** (910) 323-3183
- **Mailing address fax:** (910) 223-7555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 103432 | NC | — |
| 207Q00000X | Family Medicine Physician | 200500822 | NC | — |
| 207Q00000X | Family Medicine Physician | 200825 | NC | — |
| 207Q00000X | Family Medicine Physician | 201072 | NC | — |
| 207Q00000X | Family Medicine Physician | 20544 | NC | — |
| 207Q00000X | Family Medicine Physician | 9401111 | NC | — |
| 207Q00000X | Family Medicine Physician | 9501363 | NC | Yes |

## Other

- **Enumeration date:** 03/21/2006
- **Last updated:** 08/11/2014