Organization
FAYETTEVILLE ORTHOPAEDIC CLINIC, PA
Active
Other names
Fayetteville Orthopaedics and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ERWIN JOHNSON M.D. (PRACTICE ADMINISTRATOR)
(910) 223-2007
Entity
Organization
Contact information
Practice address
1991 FORDHAM DR, SUITE 100, FAYETTEVILLE, NC 28304-3650
(910) 484-3114
(910) 484-8824
Mailing address
1991 FORDHAM DRIVE, STE 100, FAYETTEVILLE, NC 28304
(910) 484-3114
(910) 484-8824
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901555
—
NC
Enumeration date
04/05/2006
Last updated
05/04/2012
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