Organization
MARVISTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA WILSON BARNES (OFFICE MANAGER)
(910) 486-7081
Entity
Organization
Contact information
Practice address
4140 FERNCREEK DR, SUITE 802, FAYETTEVILLE, NC 28314-2563
(910) 486-7081
Mailing address
4140 FERNCREEK DR, SUITE 802, FAYETTEVILLE, NC 28314-2563
(910) 486-7081
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2758
NC
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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