Organization
ELITECARE OF FAYETTEVILLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS SANDERS ROSS PA (ORGANIZER/MEMBER)
(910) 551-8882
Entity
Organization
Contact information
Practice address
3622 N MAIN ST, HOPE MILLS, NC 28348-1937
(910) 423-7771
(910) 423-4177
Mailing address
3622 N MAIN ST, HOPE MILLS, NC 28348-1937
(910) 423-7771
(910) 423-4177
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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