Organization
MOORE STREET PULMONARY CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE MARY GRAHAM ACNP-BC (NURSE PRACTITIONER)
(910) 257-4371
Entity
Organization
Contact information
Practice address
439 MOORE ST, FAYETTEVILLE, NC 28301-4863
(910) 257-4371
Mailing address
439 MOORE ST, FAYETTEVILLE, NC 28301-4863
(910) 257-4371
(910) 257-4371
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
08/09/2025
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