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NPI Code Detail

MEDICARE: CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC

MEDICARE: CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VX0000XObstetrics Physician

General Provider Information

NPI Number : 1346033974
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC
Provider Business Mailing Address
First Line : PO BOX 40908
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28309-0908
Country : US
Telephone Number : 910-615-6949
Fax Number :
Provider Business Practice Location Address
First Line : 1638 OWEN DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-3424
Country : US
Telephone Number : 910-615-3500
Fax Number : 910-615-3560
Authorized Official
Title or Position : VP MANAGED CARE/REVENUE CYCLE
Name : JOSEPH BARTON FISER
Credential :
Telephone Number : 910-615-5572
Provider Enumeration Date : 05/27/2025
Last Update Date : 04/08/2026

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Directions to “CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC ” Practice Location

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