Organization
PREMIER PHYSICIANS, PC
Active
Other names
Premier Infectious Diseases, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA S. TAT D.O. (PHYSICIAN SECRETARY)
(910) 221-3017
Entity
Organization
Contact information
Practice address
1357 WALTER REED RD, STE #102, FAYETTEVILLE, NC 28304
(910) 221-3017
(910) 221-3018
Mailing address
1357 WALTER REED RD, SUITE 102, FAYETTEVILLE, NC 28304-4416
(910) 221-3017
(910) 221-3018
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016CX
BCBS
NC
05
—
89016CX
—
NC
Enumeration date
08/18/2006
Last updated
05/10/2011
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