Organization
FAYETTEVILLEVAMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUBARRO PEMMARAJU MD (CHIEF OF LTC)
(910) 488-2120
Entity
Organization
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
Mailing address
9 PULLEY PL, DURHAM, NC 27707-2436
(919) 493-7654
(919) 489-6588
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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