| Ms Lydia B Apollo, CNM | |
|
2053 Valleygate Dr Ste 201, Fayetteville, NC 28304-3983 | |
| (910) 484-9020 | |
| (910) 484-9012 |
| Full Name | Ms Lydia B Apollo |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 2053 Valleygate Dr Ste 201, Fayetteville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093945115 | NPI | - | NPPES |
| 7002133 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 13054 (North Carolina) | Secondary |
| 367A00000X | Advanced Practice Midwife | 441 (North Carolina) | Primary |
| Entity Name | Scotland Memorial Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477791507 PECOS PAC ID: 0648208504 Enrollment ID: O20031105000382 |
| Entity Name | A Womans Place In Fayetteville Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326006438 PECOS PAC ID: 8628062007 Enrollment ID: O20040408001476 |
| Entity Name | Southeastern Regional Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427282045 PECOS PAC ID: 7012058548 Enrollment ID: O20100106000556 |
| Entity Name | Unc Physicians Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750704367 PECOS PAC ID: 5496940546 Enrollment ID: O20101115000646 |
| Entity Name | Obhg North Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124300876 PECOS PAC ID: 3577721034 Enrollment ID: O20120301000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lydia B Apollo, CNM 2053 Valleygate Dr Ste 201, Fayetteville, NC 28304-3983 Ph: (910) 484-9020 | Ms Lydia B Apollo, CNM 2053 Valleygate Dr Ste 201, Fayetteville, NC 28304-3983 Ph: (910) 484-9020 |