Organization
CHILDRENS ACUTE CARE OF FAYETTEVILLE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK GIOIA MD (PRESIDENT)
(702) 395-7095
Entity
Organization
Contact information
Practice address
1638 OWEN DR - PICU, FAYETTEVILLE, NC 28304-3424
(910) 615-3182
(910) 615-3176
Mailing address
1333 N BUFFALO DR, SUITE 290, LAS VEGAS, NV 89128-3636
(702) 395-7095
(702) 395-3502
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5913396
—
NC
Enumeration date
05/02/2006
Last updated
02/28/2013
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