| NPI | 1417390154 |
|---|---|
| Doing Business As | FAYETTEVILLE URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | DERON JOHN HAMMACK Owner 304-574-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: WV 2487) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |