| Pinnacle Family Care Pllc | |
|
3625 Cape Center Dr Fayetteville NC 28304-4457 | |
| (910) 483-6114 | |
| (910) 483-6225 |
| Full Name | Pinnacle Family Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3625 Cape Center Dr, Fayetteville, North Carolina |
| Authorized Official Name and Position | John M Ray (CEO OWNER) |
| Authorized Official Contact | 9104836114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Family Care Pllc 3625 Cape Center Dr Fayetteville NC 28304-4457 Ph: (910) 483-6114 | Pinnacle Family Care Pllc 3625 Cape Center Dr Fayetteville NC 28304-4457 Ph: (910) 483-6114 |
| NPI Number | 1114116076 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 04/14/2008 |
| Medicare PECOS PAC ID | 4082715933 |
|---|---|
| Medicare Enrollment ID | O20071210000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114116076 | NPI | - | NPPES |
| 5905837 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John M Ray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134122500 PECOS PAC ID: 3375632664 Enrollment ID: I20071210000502 |
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