Individual
KUSUM GARG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2356 JOHN SMITH RD, SUITE 101, FAYETTEVILLE, NC 28306-2618
(910) 920-1450
(910) 920-1864
Mailing address
2356 JOHN SMITH RD, SUITE 101, FAYETTEVILLE, NC 28306-2618
(910) 920-1450
(910) 920-1864
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9900224
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1200A
BCBS OF NC
NC
05
—
891200A
—
NC
Enumeration date
01/19/2006
Last updated
03/10/2016
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