Organization
RENEW URGENT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD BYNUM PA (CMO/OWNER)
(910) 230-5703
Entity
Organization
Contact information
Practice address
2214 HOPE MILLS RD, FAYETTEVILLE, NC 28304-2830
(910) 230-5703
Mailing address
2212 HOPE MILLS RD, FAYETTEVILLE, NC 28304-4228
(910) 230-5703
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942268305
—
NC
Enumeration date
09/09/2021
Last updated
09/20/2021
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