Organization · Type 2 NPI

Cape Fear Valley Health Medical Group LLC

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Fayetteville, NC

NPI number 1104767508 Active

Practice location

1638 Owen Dr
Fayetteville, NC 28304-3424

Call (910) 672-0350 Map

Fax (910) 672-0355

Mailing address

PO Box 40908
Fayetteville, NC 28309-0908

Specialties and licenses

TaxonomyCodeLicense
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary 208G00000XNone listed

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of th…

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About NPI 1104767508

Cape Fear Valley Health Medical Group LLC's National Provider Identifier is 1104767508, issued on Apr 2, 2026. The primary taxonomy on file is Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X), and the practice location is in Fayetteville, NC. The record was last updated on Apr 8, 2026.