Individual
MRS. KELLY FOGARTY MERGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1235 RAMSEY ST, FAYETTEVILLE, NC 28301-4401
(910) 433-3704
Mailing address
1235 RAMSEY ST, FAYETTEVILLE, NC 28301-4401
(910) 609-6448
(910) 609-7040
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
940034
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000948
—
NC
Enumeration date
07/22/2005
Last updated
11/02/2017
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