Healthcare Provider Details

I. General information

NPI: 1477444255
Provider Name (Legal Business Name): CHILDREN'S URGENT CARE OF FAYETTEVILLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4118 RAEFORD RD
FAYETTEVILLE NC
28304-3360
US

IV. Provider business mailing address

5175 LAKEWOOD DR
FAYETTEVILLE NC
28306-4578
US

V. Phone/Fax

Practice location:
  • Phone: 901-413-9657
  • Fax: 472-215-8665
Mailing address:
  • Phone: 901-413-9657
  • Fax: 472-215-8665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WAREES M WAREES
Title or Position: CEO
Credential: MD
Phone: 901-413-9657