# U.S. HEALTHWORKS MEDICAL GROUP OF NORTH CAROLINA, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** U.S. HEALTHWORKS MEDICAL GROUP OF NORTH CAROLINA, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518416460
- **Legal business name:** U.S. HEALTHWORKS MEDICAL GROUP OF NORTH CAROLINA, PC
- **Authorized official:** MR. JOSEPH T MALLAS (PRESIDENT & CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (661) 678-2600

## Contact information

- **Practice address:** 1702 OWEN DR, FAYETTEVILLE, NC 28304-3419
- **Practice address phone:** (910) 323-3184
- **Practice address fax:** (910) 323-9577
- **Mailing address:** 25124 SPRINGFIELD CT, 200, VALENCIA, CA 91355-1085
- **Mailing address phone:** (661) 678-2600
- **Mailing address fax:** (661) 678-2700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083X0100X | Occupational Medicine Physician | — | NULL | — |
| 2083X0100X | Occupational Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/03/2016
- **Last updated:** 10/03/2016