OrganizationPbl Healthcare PaFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address514 Beaumont Rd, Fayetteville, NC 28304-4443(910) 485-8831(910) 644-2280PECOS EnrollmentBased on the most recent information from CMS, provider Pbl Healthcare Pa 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 ID1194055996Provider TypeOrganizationFull NamePbl Healthcare PaSubpartNoEnumeration Date12/30/2009Last Updated12/30/2009Contact InformationPractice LocationPractice Address514 Beaumont Rd, Fayetteville, NC 28304-4443Phone(910) 485-8831Fax(910) 485-8832Mailing LocationMailing Address3121 Winesap Rd, Hope Mills, NC 28348-8357Phone(910) 644-2280Fax(910) 485-8832Authorized OfficialNameBui, Bao-Anh Ngoc (President/Ceo)Phone(910) 644-2280Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense2009-01251North Carolina