NPI Code Details Logo

NPI 1891648747

NPI 1891648747 : CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC : FAYETTEVILLE, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1891648747
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/19/2026
-----------------------------------------------------
    Last Update Date     |    04/08/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3526 VILLAGE DR 
-----------------------------------------------------
    City                 |    FAYETTEVILLE
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28304-4554
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    910-609-3970
-----------------------------------------------------
    Fax                  |    910-615-9671
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 40908 
-----------------------------------------------------
    City                 |    FAYETTEVILLE
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28309-0908
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    910-615-6949
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    VP MANAGED CARE/REVENUE CYCLE
-----------------------------------------------------
    Name                 |     JOSEPH BARTON FISER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    910-615-5572
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207N00000X
-----------------------------------------------------
    Taxonomy Name        |    Dermatology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.