Organization
ADMINISTRATION OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA YOUNG (MANAGER)
(910) 488-2120
Entity
Organization
Contact information
Practice address
7300 S RAEFORD RD, FAYETTEVILLE, NC 28304-6162
(910) 488-2120
Mailing address
7300 S RAEFORD RD, FAYETTEVILLE, NC 28304-6162
(910) 488-2120
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
11/01/2022
Last updated
11/02/2022
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