Organization
FAYETTEVILLE VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KEEMIA S. HURST MSW (SOCIAL WORKER)
(910) 488-2120
Entity
Organization
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
Mailing address
8202 MCGUIRE DR, RALEIGH, NC 27616-7702
(919) 179-1474
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
P003421
NC
Other
Enumeration date
06/12/2007
Last updated
07/11/2007
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