| Fayetteville Neurology Associates Pa | |
|
1766 Metromedical Dr Fayetteville NC 28304-3861 | |
| (910) 222-2202 | |
| Not Available |
| Full Name | Fayetteville Neurology Associates Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1766 Metromedical Dr, Fayetteville, North Carolina |
| Authorized Official Name and Position | Lynn Brown (OFFICE MANAGER) |
| Authorized Official Contact | 9102222202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fayetteville Neurology Associates Pa 1766 Metromedical Dr Fayetteville NC 28304-3861 Ph: (910) 222-2202 | Fayetteville Neurology Associates Pa 1766 Metromedical Dr Fayetteville NC 28304-3861 Ph: (910) 222-2202 |
| NPI Number | 1043319197 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 09/30/2013 |
| Medicare PECOS PAC ID | 4385547587 |
|---|---|
| Medicare Enrollment ID | O20090312000677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043319197 | NPI | - | NPPES |
| 015HJ | Other | NC | BCBS |
| 89015HJ | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (North Carolina) | Primary |
| Provider Name | Rangasamy Nmn Ramachandran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265454185 PECOS PAC ID: 8820991037 Enrollment ID: I20040129000874 |
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