Organization
MOHAMMAD A SABUR NASIRI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD SABUR NASIRI MD (OWNER)
(910) 485-0900
Entity
Organization
Contact information
Practice address
508 SANDHURST DR, FAYETTEVILLE, NC 28304-4434
(910) 485-0900
(910) 485-0080
Mailing address
508 SANDHURST DR, FAYETTEVILLE, NC 28304-4434
(910) 485-0900
(910) 485-0080
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
35740
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6961881
—
NC
Enumeration date
05/21/2007
Last updated
06/16/2008
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