Organization
RYAN, JAMES, WILES, PATEL & OLSEN LLP
Active
Other names
Village Kids
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA C PATE (REVENUE CYCLE DIRECTOR)
(910) 485-7070
Entity
Organization
Contact information
Practice address
1031 WEISS AVE, FAYETTEVILLE, NC 28305-5630
(910) 486-4180
(910) 486-4188
Mailing address
2028 LITHO PL STE 300, FAYETTEVILLE, NC 28304-2538
(910) 485-7070
(910) 485-1151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902198
—
NC
Enumeration date
08/18/2006
Last updated
10/10/2025
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