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Organization
HIGHLAND FAMILY PRACTICE PA
Active
Organization
HIGHLAND FAMILY PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE CONSTANTINE PANTELAKOS MD (MD OWNER)
(910) 323-0334
Entity
Organization
Contact information
Practice address
1248 FORT BRAGG RD, FAYETTEVILLE, NC 28305-4728
(910) 323-0334
(888) 391-5874
Mailing address
1248 FORT BRAGG RD, FAYETTEVILLE, NC 28305-4728
(910) 323-0334
(888) 391-5874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39456
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
896518E
—
NC
Enumeration date
10/03/2005
Last updated
08/08/2012
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