Organization
PEDIATRIC PRACTICE
Active
Organization
PEDIATRIC PRACTICE
Active
Other names
Cape Fear Valley Pediatric Endocrinology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL NAGOWSKI (CEO)
(910) 609-6700
Entity
Organization
Contact information
Practice address
101 ROBESON ST STE 410, FAYETTEVILLE, NC 28301-5520
(910) 615-1885
(910) 321-6254
Mailing address
PO BOX 41209, FAYETTEVILLE, NC 28309-1209
(910) 609-6448
(910) 609-5070
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
H0213
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NC
Enumeration date
06/26/2008
Last updated
01/31/2025
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