Graduated: 2016
NPI: 1104272400
Practice Locations (2)
ID CARE(R) - INFECTIOUS DISEASES SPECIALTY PRACTICE PA
1319 AVON ST
Fayetteville, NC 283044423
ID CARE(R) - INFECTIOUS DISEASES SPECIALTY PRACTICE PA
1319 AVON ST
FAYETTEVILLE, NC 283044423
9107296552
Source: CMS National Downloadable File, September 2026.