OrganizationActive
US Army
NPI 1003051210 · Military/U.S. Coast Guard Outpatient Clinic/Center · Fayetteville, NC
Provider details
- NPI number
- 1003051210
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Christopher Brackman, PA(910) 988-6117
- License
- 0010-01314 (NC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
5587 Lockridge Road
Fayetteville, NC 28311
Phone: (910) 988-6117
Approximate (ZIP-level) locationGet directions
Mailing address
5587 Lockridge Rd
Fayetteville, NC 28311-0240
Registry dates
- Enumerated
- 2008-12-03
- Last updated
- 2008-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.