Organization
CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP, LLC
Active
Other names
BLADEN SLEEP DISORDERS CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH B FISER (VP MANAGED CARE AND REIMBURSEMENT)
(910) 615-5572
Entity
Organization
Contact information
Practice address
107 E DUNHAM ST, ELIZABETHTOWN, NC 28337
(910) 615-3200
(910) 615-3200
Mailing address
PO BOX 40908, FAYETTEVILLE, NC 28309-0908
(910) 615-6448
(910) 615-5070
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
H0213
NC
Other
Enumeration date
06/01/2010
Last updated
07/25/2024
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