OrganizationDba Cumberland Family PracticeFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address2414 Hope Mills Rd, Fayetteville, NC 28304-4264(910) 424-2426PECOS EnrollmentBased on the most recent information from CMS, provider Dba Cumberland Family Practice does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1093771198Provider TypeOrganizationFull NameDba Cumberland Family PracticeSubpartNoEnumeration Date4/26/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address2414 Hope Mills Rd, Fayetteville, NC 28304-4264Phone(910) 424-2426Fax(910) 424-7916Mailing LocationMailing Address2414 Hope Mills Rd, Fayetteville, NC 28304-4264Phone(910) 424-2426Fax(910) 424-7916Authorized OfficialNameChaudhuri, Mithu (Office Manager)Phone(910) 484-0101Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID89013RKDescriptionMedicaidIssuerUnlistedNorth CarolinaID0132XDescriptionOtherIssuerBCBSNorth Carolina