W A Willis Md Pa

LBN: W A Willis Md Pa
W A Willis Md Pa is an health care organization with primary practice located at 2850 Village Dr Suite 103, Fayetteville NC 28304-3869. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. W A Willis Md Pa can be contacted via phone (910) 223-9801, or through Carter, Phyllis L via phone (910) 391-4588.

Contact Information

Primary practice address
2850 Village Dr Suite 103 Fayetteville NC 28304-3869
Phone: (910) 223-9801
Fax: (910) 223-9819
Website:
Map and Directions
Authorized official contact:
Name: Carter, Phyllis L
Phone: (910) 391-4588

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 22449 North Carolina

Profile Details

NPI number 1952662900
LBN Legal business name W A Willis Md Pa
DBA Doing business as
Authorized official Carter, Phyllis L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2012
Last updated Jun 6th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952662900 NPPES
North Carolina MEDICAID 8988133

Popular Providers