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Organization
KOG INTEGRATED HEALTHCARE
Active
Organization
KOG INTEGRATED HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PARKER (MD/OWNER)
(984) 229-9005
Entity
Organization
Contact information
Practice address
810 ELM ST, FAYETTEVILLE, NC 28303-4152
(984) 229-9005
(919) 362-0769
Mailing address
810 ELM ST, FAYETTEVILLE, NC 28303-4152
(984) 229-9005
(919) 362-0769
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
02/13/2025
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