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Organization
CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP, LLC
Active
Organization
CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP, LLC
Active
Other names
Three Rivers Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH B FISER (VP MANAGED CARE AND REVENUE CYCLE)
(910) 615-5572
Entity
Organization
Contact information
Practice address
580 W MCLEAN ST, SAINT PAULS, NC 28384-1421
(910) 615-3570
(910) 865-3503
Mailing address
PO BOX 40908, FAYETTEVILLE, NC 28309-0908
(910) 615-6448
(910) 615-5070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NC
Enumeration date
10/02/2009
Last updated
11/30/2023
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