Organization
NORTHSIDE PRIMARY & URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SELVARATNAM SINNA MD (MANAGING MEMBER)
(910) 308-0196
Entity
Organization
Contact information
Practice address
5397 RAMSEY ST, FAYETTEVILLE, NC 28311-1417
(910) 488-9011
(910) 488-9057
Mailing address
PO BOX 87064, FAYETTEVILLE, NC 28304-7064
(910) 488-9011
(910) 488-9057
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00034310
NC
Other
Enumeration date
06/29/2016
Last updated
09/02/2016
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