Organization
RECON NEUROLOGY & PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA HUDSON (CREDENTIALING COORDINATOR)
(910) 372-6172
Entity
Organization
Contact information
Practice address
1340 WALTER REED RD STE 202, FAYETTEVILLE, NC 28304-4451
(910) 504-3506
(910) 504-3507
Mailing address
1340 WALTER REED RD STE 202, FAYETTEVILLE, NC 28304-4451
(910) 504-3506
(910) 504-3507
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
12/13/2022
Last updated
01/13/2026
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