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Organization
PURA CLINIC FAMILY MEDICINE PC
Active
Organization
PURA CLINIC FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMAD A. SHAKIR M.D. (OWNER)
(910) 829-5108
Entity
Organization
Contact information
Practice address
124 BAYWOOD RD, SUITE 111, FAYETTEVILLE, NC 28312-8733
(910) 829-5108
(910) 829-5107
Mailing address
PO BOX 4860, MURRELLS INLET, SC 29576-2698
(843) 651-2624
(843) 357-4940
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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