| Cumberland Medical Associates, Pc | |
|
5085 Morganton Rd Suite 100 Fayetteville NC 28314-1523 | |
| (910) 864-0689 | |
| (910) 864-3747 |
| Full Name | Cumberland Medical Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5085 Morganton Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Sanjiv S Dalvi (OWNER) |
| Authorized Official Contact | 9108640689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cumberland Medical Associates, Pc 5085 Morganton Rd Suite 100 Fayetteville NC 28314-1523 Ph: (910) 864-0689 | Cumberland Medical Associates, Pc 5085 Morganton Rd Suite 100 Fayetteville NC 28314-1523 Ph: (910) 864-0689 |
| NPI Number | 1801945118 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 01/07/2010 |
| Medicare PECOS PAC ID | 6608788336 |
|---|---|
| Medicare Enrollment ID | O20031103000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801945118 | NPI | - | NPPES |
| 89014WW | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sanjiv S Dalvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881763944 PECOS PAC ID: 4385557172 Enrollment ID: I20031107000387 |
| Provider Name | Sumedha Dalvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255400321 PECOS PAC ID: 3870406663 Enrollment ID: I20031107000412 |
| Provider Name | Clinton D Wilburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518281773 PECOS PAC ID: 8123018603 Enrollment ID: I20040517000215 |
| Provider Name | Sara Evelyn Melin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831643253 PECOS PAC ID: 8426339052 Enrollment ID: I20161220000074 |
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