OrganizationCape Fear Valley Health Medical Group LlcFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1307 Avon St, Fayetteville, NC 28304-4423(910) 323-1718(910) 615-6949PECOS EnrollmentBased on the most recent information from CMS, provider Cape Fear Valley Health Medical Group Llc 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 ID1629886189Provider TypeOrganizationFull NameCape Fear Valley Health Medical Group LlcSubpartNoEnumeration Date12/30/2024Last Updated12/30/2024Contact InformationPractice LocationPractice Address1307 Avon St, Fayetteville, NC 28304-4423Phone(910) 323-1718Fax(910) 483-0647Mailing LocationMailing AddressPO Box 40908, Fayetteville, NC 28309-0908Phone(910) 615-6949Fax(910) 615-9761Authorized OfficialNameFiser, Joseph Barton (Vp Revenue Cycle And Managed Care)Phone(910) 615-5572Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer