| Northwood Medical Center, P.a. | |
|
116 Country Club Dr Fayetteville NC 28301-7604 | |
| (910) 488-0157 | |
| (910) 488-0293 |
| Full Name | Northwood Medical Center, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 116 Country Club Dr, Fayetteville, North Carolina |
| Authorized Official Name and Position | Sasan S Araghi (PRESIDENT) |
| Authorized Official Contact | 9104880157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwood Medical Center, P.a. 116 Country Club Dr Fayetteville NC 28301-7604 Ph: (910) 488-0157 | Northwood Medical Center, P.a. 116 Country Club Dr Fayetteville NC 28301-7604 Ph: (910) 488-0157 |
| NPI Number | 1164688032 |
|---|---|
| Provider Enumeration Date | 07/31/2008 |
| Last Update Date | 07/31/2008 |
| Medicare PECOS PAC ID | 5294803433 |
|---|---|
| Medicare Enrollment ID | O20081001000440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164688032 | NPI | - | NPPES |
| 89137X3 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 150707 (North Carolina) | Primary |
| Provider Name | Sasan S Araghi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528069762 PECOS PAC ID: 0143299404 Enrollment ID: I20041002000102 |
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