Organization
CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP, LLC
Active
Other names
CONVENIENT CARE FOR HOKE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL NAGOWSKI (CEO)
(910) 615-6700
Entity
Organization
Contact information
Practice address
104 W SOUTHERN AVE, RAEFORD, NC 28376-3218
(910) 615-3140
(910) 486-2169
Mailing address
PO BOX 40908, FAYETTEVILLE, NC 28309-0908
(910) 615-6448
(910) 615-5070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0213
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5913981
—
NC
Enumeration date
03/23/2010
Last updated
07/14/2010
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