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Organization
WELL POINT URGENT CARE AND FAMILY CLINIC INC
Active
Organization
WELL POINT URGENT CARE AND FAMILY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. INGRID Y PAYNE (CHIEF OPERATION OFFICER)
(910) 323-1481
Entity
Organization
Contact information
Practice address
601 RAMSEY ST, FAYETTEVILLE, NC 28301-4913
(910) 323-3322
(910) 323-3944
Mailing address
601 RAMSEY ST, FAYETTEVILLE, NC 28301-4913
(910) 323-3322
(910) 323-3944
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901814
—
NC
Enumeration date
05/18/2006
Last updated
03/11/2008
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