Organization · Type 2 NPI
Fayetteville Vamc
VA Clinic/Center · Pembroke, NC
NPI number
1912201146
Active
Practice location
139 Three Hunts Drive
Pembroke, NC 28372-6800
Mailing address
PO Box 89494
Cleveland, OH 44101-6494
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
About NPI 1912201146
Fayetteville Vamc's National Provider Identifier is 1912201146, issued on Jan 3, 2011. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Pembroke, NC. The record was last updated on Apr 11, 2018.