Organization · Type 2 NPI

Marvista

Specialist · Fayetteville, NC

NPI number 1104064401 Active

Practice location

4140 Ferncreek Dr, Suite 802
Fayetteville, NC 28314-2563

Call (910) 486-7081 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2758 (NC)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104064401

Marvista's National Provider Identifier is 1104064401, issued on Jan 26, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fayetteville, NC. The record was last updated on Jan 26, 2009.