Organization
BUCKHEAD EXPRESS CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGODI U NWOSU MD (PRESIDENT)
(910) 483-1493
Entity
Organization
Contact information
Practice address
3613A RAEFORD RD, FAYETTEVILLE, NC 28304-2113
(910) 483-1493
(910) 920-4212
Mailing address
3613A RAEFORD RD, FAYETTEVILLE, NC 28304-2113
(910) 483-1493
(910) 920-4212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/12/2010
Last updated
02/09/2010
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