# ELITECARE OF FAYETTEVILLE PLLC

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

## Provider details

- **NPI number:** 1508297003
- **Authorized official:** MR. TRAVIS SANDERS ROSS PA (ORGANIZER/MEMBER)
- **Authorized official phone:** (910) 551-8882

## Contact information

- **Practice address:** 3622 N MAIN ST, HOPE MILLS, NC 28348-1937
- **Practice address phone:** (910) 423-7771
- **Practice address fax:** (910) 423-4177
- **Mailing address:** 3622 N MAIN ST, HOPE MILLS, NC 28348-1937
- **Mailing address phone:** (910) 423-7771
- **Mailing address fax:** (910) 423-4177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/09/2013
- **Last updated:** 12/09/2013