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NPI Profile for PATRIOTMED OF NORTH CAROLINA PC in FAYETTEVILLE, NC.
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Physician Assistant |
363A00000X | 97 | Physician Assistant | |
Radiologic Technologist |
247100000X |
| NPI # | 1407668908 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/22/2025 | |
| Last updated | 04/21/2026 - About 1 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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PATRIOTMED OF NORTH CAROLINA, P.C.
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PATRIOTMED OF NORTH CAROLINA, P.C.