Highland Family Practice Pa

LBN: Highland Family Practice Pa
Highland Family Practice Pa is an health care organization with primary practice located at 1248 Fort Bragg Rd , Fayetteville NC 28305-4728. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Highland Family Practice Pa can be contacted via phone (910) 323-0334, or through Pantelakos, George Constantine via phone (910) 323-0334.

Contact Information

Primary practice address
1248 Fort Bragg Rd Fayetteville NC 28305-4728
Phone: (910) 323-0334
Fax: (888) 391-5874
Website:
Map and Directions
Authorized official contact:
Name: Pantelakos, George Constantine Doctor of Medicine (MD)
Phone: (910) 323-0334

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39456 North Carolina

Profile Details

NPI number 1891782033
LBN Legal business name Highland Family Practice Pa
DBA Doing business as
Authorized official Pantelakos, George Constantine Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2005
Last updated Aug 8th, 2012 - about 13 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 1891782033 NPPES
North Carolina MEDICAID 896518E

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