Organization
CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP, LLC
Active
Other names
Three Rivers Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH B FISER (VP MANAGED CARE AND REVENUE CYCLE)
(910) 615-5572
Entity
Organization
Contact information
Practice address
580 W MCLEAN ST, SAINT PAULS, NC 28384-1421
(910) 615-3570
(910) 865-3503
Mailing address
PO BOX 40908, FAYETTEVILLE, NC 28309-0908
(910) 615-6448
(910) 615-5070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NC
Enumeration date
10/02/2009
Last updated
11/30/2023
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