Organization
STATCARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE WILLIAMS (OFFICE MANAGER)
(910) 826-7828
Entity
Organization
Contact information
Practice address
9525 CLIFFDALE RD, FAYETTEVILLE, NC 28304-5956
(910) 826-7828
(910) 864-7925
Mailing address
PO BOX 87707, FAYETTEVILLE, NC 28304-7707
(910) 826-7828
(910) 864-7925
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903128
—
NC
Enumeration date
08/23/2012
Last updated
08/23/2012
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