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Individual

CONNIE M FECIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP BC

Contact information

Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-3897
(252) 847-3891
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-3897
(252) 847-3891

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201838
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060040795
RAILROAD
NC
01
133N5
BLUE CROSS BLUE SHIELD
NC
05
89133N5
NC
01
FH2001400
FIRST CAROLINA CARE
NC
01
N00176
SC MEDICAID
SC
Enumeration date
05/20/2006
Last updated
02/01/2011
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