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Organization

CUMBERLAND COUNTY HOSPITAL SYSTEM, INC

Active
Other names
CAPE FEAR VALLEY UROLOGY
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL NAGOWSKI (CEO)
(910) 615-6700
Entity
Organization

Contact information

Practice address
2301 ROBESON ST, SUITE 301, FAYETTEVILLE, NC 28305-5551
(910) 615-3220
(910) 486-2170
Mailing address
PO BOX 40908, FAYETTEVILLE, NC 28309-0908
(910) 615-6448
(910) 615-5070

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
H0213
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
NC
Enumeration date
06/21/2010
Last updated
06/21/2010
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