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Organization

AMERICAN OPTIMAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. INGRID Y PAYNE (CHIEF OPERATION OFFICER)
(910) 323-1481
Entity
Organization

Contact information

Practice address
726 RAMSEY ST, SUITE 3, FAYETTEVILLE, NC 28301-4705
(910) 486-0044
Mailing address
601 RAMSEY STREET, FAYETTEVILLE, NC 28301-4705
(910) 323-1481
(910) 323-1282

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
261QP2300X
Primary Care Clinic/Center
261QU0200X
Urgent Care Clinic/Center
261QX0100X
Occupational Medicine Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0151A
BCBS GRP NUMBER
NC
05
890151A
NC
Enumeration date
05/18/2006
Last updated
04/20/2008
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