| NPI | 1760795769 |
|---|---|
| Doing Business As | FAYETTEVILLE MEDICAL HOME-BRAGG |
| Entity Type | Organization |
| Authorized Contact | BARBARA BLACK Ubo Manager 910-907-8537 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center Military/U.S. Coast Guard Outpatient |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2013-02-11 |