Individual
MARK PICARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-4000
Mailing address
6906 HARVEST CT, FAYETTEVILLE, NC 28306-9614
(727) 563-6955
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5022545
NC
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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