OrganizationBuckhead Express Clinic PcFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address3613a Raeford Rd, Fayetteville, NC 28304-2113(910) 483-1493PECOS EnrollmentBased on the most recent information from CMS, provider Buckhead Express Clinic Pc 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 6 days ago.Profile DetailsProvider ID1255661302Provider TypeOrganizationFull NameBuckhead Express Clinic PcSubpartNoEnumeration Date1/12/2010Last Updated2/9/2010Contact InformationPractice LocationPractice Address3613a Raeford Rd, Fayetteville, NC 28304-2113Phone(910) 483-1493Fax(910) 920-4212Mailing LocationMailing Address3613a Raeford Rd, Fayetteville, NC 28304-2113Phone(910) 483-1493Fax(910) 920-4212Authorized OfficialNameNwosu, Agodi U (President)Phone(910) 483-1493Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer