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Organization

CAPE FEAR NEUROLOGY ASSOCIATES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMPATH V CHARYA M.D. (PRESIDENT)
(910) 323-2247
Entity
Organization

Contact information

Practice address
2135 VALLEYGATE DR, SUITE 101, FAYETTEVILLE, NC 28304-3750
(910) 323-2247
(910) 486-8064
Mailing address
PO BOX 87049, FAYETTEVILLE, NC 28304-7049
(910) 323-2247
(910) 486-8064

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9700897
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
890171P
NC
01
COMMERICAL
GROUP NUMBER
NC
Enumeration date
04/07/2006
Last updated
08/10/2011
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