Organization
FLEE THE FLU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL NAGOWSKI (CEO)
(910) 609-6700
Entity
Organization
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-3475
(910) 486-2171
Mailing address
PO BOX 40908, FAYETTEVILLE, NC 28309-0908
(910) 615-6448
(910) 615-5070
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
H0213
NC
Other
Enumeration date
08/31/2005
Last updated
09/30/2010
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