Organization
US ARMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER SCOTT BRACKMAN APA-C (PA)
(910) 988-6117
Entity
Organization
Contact information
Practice address
5587 LOCKRIDGE ROAD, FAYETTEVILLE, NC 28311
(910) 988-6117
Mailing address
5587 LOCKRIDGE RD, FAYETTEVILLE, NC 28311-0240
(910) 988-6117
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
0010-01314
NC
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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