Organization
ADVANCE DIAGNOSTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA SULLIVAN (OFFICE MANAGER)
(910) 964-4995
Entity
Organization
Contact information
Practice address
2850 VILLAGE DR STE 201, FAYETTEVILLE, NC 28304-3864
(910) 964-4995
(919) 367-3399
Mailing address
1766 METROMEDICAL DR, FAYETTEVILLE, NC 28304-3861
(910) 964-4995
(919) 367-3399
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
Other
Enumeration date
09/19/2018
Last updated
01/02/2024
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