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Specialty details in registry · Fayetteville, NC

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At a glance

5976 Monterey Ct, Fayetteville, NC 28314-0942

NPPES record updated Dec 29, 2022. Public records can lag behind changes at a practice.

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Practice location

5976 Monterey Ct
Fayetteville, NC 28314-0942
Professional details: NPI, taxonomy & registry record
NPI1033826466
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
343900000X
Enumeration date
Nov 4, 2022
Record updated
Dec 29, 2022
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

343900000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

5976 Monterey Ct
Fayetteville, NC 28314-0942
Phone
(910) 847-4050
Mailing address
5976 MONTEREY CT

FAYETTEVILLE, NC 283140942
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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