| Fortified Med Pllc | |
|
760c Nw Broad St Southern Pines NC 28387-4102 | |
| (916) 431-0236 | |
| Not Available |
| Full Name | Fortified Med Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 760c Nw Broad St, Southern Pines, North Carolina |
| Authorized Official Name and Position | Thomas Skinner (OWNER) |
| Authorized Official Contact | 9164310236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortified Med Pllc 760c Nw Broad St Southern Pines NC 28387-4102 Ph: (916) 431-0236 | Fortified Med Pllc 760c Nw Broad St Southern Pines NC 28387-4102 Ph: (916) 431-0236 |
| NPI Number | 1174204879 |
|---|---|
| Provider Enumeration Date | 07/26/2023 |
| Last Update Date | 07/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174204879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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