VITA FAMILY PRACTICE PLLC


Address: 609 Executive Pl Ste B, Fayetteville, NC 28305-5713
Phone: 9104893185

VITA FAMILY PRACTICE PLLC (NPI# 1770004723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770004723
Entity Type Organization
Organization Name VITA FAMILY PRACTICE PLLC
Practice Address 609 Executive Pl Ste B
Fayetteville
NC 28305-5713
Mailing Address 5700 Waldwick Rd
Fayetteville
NC 28311-3410
Practice Telephone 9104893185
Mailing Telephone 9102577947
Enumeration Date 2017-06-29
Last Update Date 2017-06-29
Authorized Official Name LUKISHA D PURDIE (OFFICE MANAGER)
Authorized Official Telephone 9102577947
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 609 EXECUTIVE PL STE B
City FAYETTEVILLE
State NC
Zip Code 28305-5713

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437637733 Shannon S Wiggins Social Worker 2525 Raeford Rd Ste A, Fayetteville, NC 28305 2018-07-30
1205345790 Sarah Elizabeth Hudson Marriage & Family Therapist 214 Fairway Dr, Fayetteville, NC 28305 2017-09-27
1336533116 Avalon Counseling Services Pa Counselor 916 B Arsenal Ave, Fayetteville, NC 28305 2015-03-19
1568882827 Kenneth Brown Counselor 901 Arsenal Avenue, Suite, Fayetteville, NC 28305 2014-04-24
1174879423 Lynette Maxwell Pierce Dentist 2537-b Raeford Rd, Fayetteville, NC 28305 2012-07-24
1356640973 Charlene Jones Social Worker 560 Lambert St, Fayetteville, NC 28305 2011-03-22
1659518173 Christine R Campbell Speech-Language Pathologist 2401 Roberson Street, Fayettville, NC 28305 2009-01-21
1588814628 Zakiya S Karim Pediatrics 1327 Robeson Street, Fayetteville, NC 28305 2008-09-25
1710134770 Bright Heart Healthcare Staffing Nursing Care 2504 Rareford Rd, Fayetteville, NC 28305 2008-08-21
1730272402 Dale A Childers Dentist 2409 Robeson Street, Fayetteville, NC 28305 2006-10-02
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568021160 Brighter Pathway To Healthcare Clinic/Center 2641 Cameron Woods Ln Apt Suite, Fayetteville, NC 28306-7700 2019-06-07
1720642770 Arcare Clinic/Center 2894 N Mckee Cir Ste 101, Fayetteville, AR 72703-3498 2019-04-25
1174003685 Premise Health of Arkansas Medical P A Clinic/Center 2907 E Joyce Blvd Ste 6, Fayetteville, AR 72703-5390 2018-08-15
1083087837 Cornerstone Family Practice & Urgent Care, Pllc Clinic/Center 2547 Ravenhill Dr, Suite 104, Fayetteville, NC 28303-9616 2015-11-02
1609186790 Stedman - Wade Health Services, Inc Clinic/Center 2409 Murchison Rd Ste B, Fayetteville, NC 28301-3519 2010-10-07
1093020240 Georgia Medical Consultants, P.C. Clinic/Center 101 Devant Street, Suite 105, Fayetteville, GA 30214-7636 2010-08-12
1063682227 Noralean Williams,md,pa Clinic/Center 705 Cumberland St, #a, Fayetteville, NC 28301-7020 2008-03-04
1548358526 Carolina Family Practice Centre,pa Clinic/Center 2500 Village Dr Ste 100, Fayetteville, NC 28304-3811 2006-10-11
1841247368 Five Oaks Family Clinic, Inc. Clinic/Center Rr 3 Box 458e, Fayetteville, WV 25840-9589 2006-05-29
1649223637 Well Point Urgent Care and Family Clinic Inc Clinic/Center 601 Ramsey St, Fayetteville, NC 28301-4913 2006-05-18
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Competitor

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City FAYETTEVILLE
Zip Code 28305

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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