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Specialty details in registry · Fayetteville, NC
At a glance
111 Lamon St Ste 114, Fayetteville, NC 28301-4917
NPPES record updated Jun 30, 2025. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
111 Lamon St Ste 114Fayetteville, NC 28301-4917
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 343900000X
- Enumeration date
- Jun 30, 2025
- Record updated
- Jun 30, 2025
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
111 Lamon St Ste 114Fayetteville, NC 28301-4917
- Phone
- (910) 676-8696
- Fax
- (910) 676-8696
Mailing address
417 HALLMARK RDFAYETTEVILLE, NC 283032615
Information may be outdated or incomplete.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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