Individual
FASIL FERRIS MOHOMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 LIBERTY HILL ROAD, LUMBERTON CHILDREN'S CLINIC, LUMBERTON, NC 28358-2446
(910) 739-3318
(910) 671-3600
Mailing address
400 LIBERTY HILL ROAD, LUMBERTON CHILDREN'S CLINIC, LUMBERTON, NC 28358-2446
(910) 739-3318
(910) 671-3600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2010-00445
NC
2080P0203X
Pediatric Critical Care Medicine Physician
D68445
MD
Other
Enumeration date
04/19/2007
Last updated
09/09/2010
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