Graceful Aging,Pc

LBN: Graceful Aging,Pc
Graceful Aging,Pc is an health care organization with primary practice located at 2732 Bardolino Dr , Fayetteville NC 28306-4636. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Graceful Aging,Pc can be contacted via phone (910) 868-6477, or through Ogunwo, Susannah via phone (910) 868-6477.

Contact Information

Primary practice address
2732 Bardolino Dr Fayetteville NC 28306-4636
Fax:
Website:
Authorized official contact:
Name: Ogunwo, Susannah Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 200601059 North Carolina

Profile Details

NPI number 1316259013
LBN Legal business name Graceful Aging,Pc
DBA Doing business as
Authorized official Ogunwo, Susannah Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2010
Last updated Jul 9th, 2010 - 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.

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