# GUARDIAN HART MEDICAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cedar Creek Urgent Care and Family Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750490876
- **Authorized official:** MRS. JONNA LYNN SQUIRES (INSURANCE BILLER)
- **Authorized official phone:** (910) 221-1590

## Contact information

- **Practice address:** 1074 SOUTHERN AVE, FAYETTEVILLE, NC 28306
- **Practice address phone:** (910) 221-1590
- **Practice address fax:** (910) 221-1594
- **Mailing address:** 1074 SOUTHERN AVENUE, FAYETTEVILLE, NC 28306
- **Mailing address phone:** (910) 221-1590
- **Mailing address fax:** (910) 221-1594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 128677 | NC | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 04/23/2013
