Organization
GUARDIAN HART MEDICAL CARE
Active
Other names
Cedar Creek Urgent Care and Family Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JONNA LYNN SQUIRES (INSURANCE BILLER)
(910) 221-1590
Entity
Organization
Contact information
Practice address
1074 SOUTHERN AVE, FAYETTEVILLE, NC 28306
(910) 221-1590
(910) 221-1594
Mailing address
1074 SOUTHERN AVENUE, FAYETTEVILLE, NC 28306
(910) 221-1590
(910) 221-1594
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
128677
NC
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014A1
BCBS
NC
05
—
59-01572
—
NC
Enumeration date
08/30/2006
Last updated
04/23/2013
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