| Easter Seals Ucp North Carolina & Virginia,inc. | |
|
223 Hull Rd Fayetteville NC 28303-5912 | |
| (910) 483-7283 | |
| Not Available |
| Full Name | Easter Seals Ucp North Carolina & Virginia,inc. |
|---|---|
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 223 Hull Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Edwards Richard (VP SERVICE LINE) |
| Authorized Official Contact | 9198658780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Ucp North Carolina & Virginia,inc. 5171 Glenwood Ave Suite 400 Raleigh NC 27612-3266 Ph: () - | Easter Seals Ucp North Carolina & Virginia,inc. 223 Hull Rd Fayetteville NC 28303-5912 Ph: (910) 483-7283 |
| NPI Number | 1386078244 |
|---|---|
| Provider Enumeration Date | 08/28/2013 |
| Last Update Date | 12/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386078244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 2080A0000X | Pediatrics - Adolescent Medicine | (* (Not Available)) | Primary |
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