Faillace General Surgery

LBN: Faillace General Surgery
Faillace General Surgery is an health care organization with primary practice located at 2041 Valleygate Dr Suite 202-A, Fayetteville NC 28304-3688. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Faillace General Surgery can be contacted via phone (910) 485-6277, or through Faillace, Deon F via phone (910) 485-6277.

Contact Information

Primary practice address
2041 Valleygate Dr Suite 202-A Fayetteville NC 28304-3688
Phone: (910) 485-6277
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Faillace, Deon F Doctor of Medicine (MD)
Phone: (910) 485-6277

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1497712822
LBN Legal business name Faillace General Surgery
DBA Doing business as
Authorized official Faillace, Deon F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497712822 NPPES
North Carolina MEDICAID 7931041

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