Organization
FAYETTEVILLE ORTHOPAEDIC CLINIC, PA
Active
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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