Fastmed Health Nc, Pllc | |
150 Francam Dr Fayetteville NC 28311-4500 | |
(910) 487-1100 | |
(910) 884-9821 |
Full Name | Fastmed Health Nc, Pllc |
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Speciality | Family Medicine |
Location | 150 Francam Dr, Fayetteville, North Carolina |
Authorized Official Name and Position | Ashanta Lewis (NATIONAL SENIOR MANAGER) |
Authorized Official Contact | 7135202007 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fastmed Health Nc, Pllc 935 Shotwell Rd Ste 108 Clayton NC 27520-5598 Ph: (804) 500-2285 | Fastmed Health Nc, Pllc 150 Francam Dr Fayetteville NC 28311-4500 Ph: (910) 487-1100 |
NPI Number | 1609332725 |
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Provider Enumeration Date | 02/13/2019 |
Last Update Date | 03/12/2020 |
Medicare PECOS PAC ID | 2466880422 |
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Medicare Enrollment ID | O20200325002145 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609332725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | John L Turner |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992760870 PECOS PAC ID: 0749329332 Enrollment ID: I20091119000562 |
Provider Name | Kelly M Stoia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609129667 PECOS PAC ID: 2163674268 Enrollment ID: I20121219000274 |
Provider Name | Christopher M Wozniak |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326488818 PECOS PAC ID: 9032421243 Enrollment ID: I20150701000207 |
Provider Name | Melissa E Ernst |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649637174 PECOS PAC ID: 7517266166 Enrollment ID: I20160503000789 |
Provider Name | Juliann Thomas Marques |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578980504 PECOS PAC ID: 0547541443 Enrollment ID: I20170109002175 |
Provider Name | Patrick Gregory Bruff |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538608666 PECOS PAC ID: 5890070064 Enrollment ID: I20170330002117 |
Provider Name | Holly Ann Preston |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710474069 PECOS PAC ID: 7214291897 Enrollment ID: I20190611000885 |
Provider Name | Sara Routzahn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548682297 PECOS PAC ID: 8527291863 Enrollment ID: I20200225000984 |
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