# FAYETTEVILLE ENDOCRINOLOGY AND DIABETES CLINIC PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851427991
- **Authorized official:** DR. SYED ASIF RAZA RIZVI MD (PRESIDENT)
- **Authorized official phone:** (910) 609-1880

## Contact information

- **Practice address:** 105 ROXIE AVE, FAYETTEVILLE, NC 28304-2123
- **Practice address phone:** (910) 609-1880
- **Practice address fax:** (910) 609-1836
- **Mailing address:** PO BOX 87186, FAYETTEVILLE, NC 28304-7186
- **Mailing address phone:** (910) 609-1880
- **Mailing address fax:** (910) 609-1836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 9401482 | NC | Yes |

## Other

- **Enumeration date:** 02/25/2007
- **Last updated:** 12/20/2007