Organization
STATCARE, LLC
Active
Other names
StatCare Urgent Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJU B RAVAL D.O. (MEDICAL DIRECTOR)
(910) 826-7828
Entity
Organization
Contact information
Practice address
9525 CLIFFDALE RD., FAYETTEVILLE, NC 28304
(910) 826-7925
(910) 864-7925
Mailing address
P.O. BOX 87707, FAYETTEVILLE, NC 28304
(910) 826-7828
(910) 864-7925
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9700722
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027AU
BCBS
NC
05
—
5903128
—
NC
Enumeration date
01/02/2007
Last updated
07/19/2013
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