Organization
SPECTRUM INTERNAL MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIPA PARIKH (MANAGER)
(910) 323-1800
Entity
Organization
Contact information
Practice address
2944 BREEZEWOOD AVE, SUITE 101, FAYETTEVILLE, NC 28303-5415
(910) 323-1800
(910) 323-4030
Mailing address
PO BOX 87022, FAYETTEVILLE, NC 28304-7022
(910) 323-1800
(910) 323-4030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016AU
BCBS
NC
05
—
89016AU
—
NC
Enumeration date
08/09/2005
Last updated
04/26/2023
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