Organization
PURA CLINIC FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMAD A. SHAKIR M.D. (OWNER)
(910) 829-5108
Entity
Organization
Contact information
Practice address
124 BAYWOOD RD, SUITE 111, FAYETTEVILLE, NC 28312-8733
(910) 829-5108
(910) 829-5107
Mailing address
PO BOX 4860, MURRELLS INLET, SC 29576-2698
(843) 651-2624
(843) 357-4940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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