Organization
FERNCREEK PRIMARY CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAVINKUMAR K PATEL MD (PRESIDENT)
(910) 491-3922
Entity
Organization
Contact information
Practice address
1314 MEDICAL DR STE 102, FAYETTEVILLE, NC 28304
(910) 491-3922
(910) 491-5350
Mailing address
1314 MEDICAL DR STE 102, FAYETTEVILLE, NC 28304-4421
(910) 491-3922
(910) 491-5350
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/12/2015
Last updated
05/24/2018
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