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Organization
FAYETTEVILLE AREA HEALTH EDUCATION FOUNDATION INC
Active
Organization
FAYETTEVILLE AREA HEALTH EDUCATION FOUNDATION INC
Active
Other names
Southern Regional Area Health Education Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSHMA SURRINDER KAPOOR MD (PRESIDENT & CEO)
(910) 678-7230
Entity
Organization
Contact information
Practice address
1601 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 678-0100
(910) 678-0115
Mailing address
1601 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 678-0100
(910) 678-0115
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RI0200X
Infectious Disease Physician
—
NULL
207RI0200X
Infectious Disease Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
NULL
2080P0202X
Pediatric Cardiology Physician
—
—
2080P0205X
Pediatric Endocrinology Physician
—
NULL
2080P0205X
Pediatric Endocrinology Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8903078
—
NC
Enumeration date
10/26/2006
Last updated
10/25/2019
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