Organization · Type 2 NPI
Fayetteville Vamc
VA Clinic/Center · Supply, NC
NPI number
1962819052
Active
Practice location
18 Doctors Cir Ste 2
Supply, NC 28462-4089
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 1962819052
Fayetteville Vamc's National Provider Identifier is 1962819052, issued on Jul 21, 2014. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Supply, NC. The record was last updated on Apr 11, 2018.