Healthcare Provider Details

I. General information

NPI: 1902748965
Provider Name (Legal Business Name): METO MEDICAL PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1905 SKIBO RD STE 100
FAYETTEVILLE NC
28314-0261
US

IV. Provider business mailing address

PO BOX 53904
FAYETTEVILLE NC
28305-3904
US

V. Phone/Fax

Practice location:
  • Phone: 910-286-5400
  • Fax:
Mailing address:
  • Phone: 910-286-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2080B0002X
TaxonomyPediatric Obesity Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DANIEL UBA
Title or Position: AUTHORIZED OWNER
Credential: MD
Phone: 910-286-5400