Organization
FAYETTEVILLE INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER FORTIN (OFFICE MANAGER)
(910) 483-4680
Entity
Organization
Contact information
Practice address
1766 METROMEDICAL DR, FAYETTEVILLE, NC 28304-3861
(910) 483-4856
Mailing address
1766 METROMEDICAL DR, FAYETTEVILLE, NC 28304-3861
(910) 483-4856
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/03/2022
Last updated
12/02/2024
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