| Organization Name: | PALMS FAMILY MEDICINE, P.A. |
| NPI Number: | 1386861664 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | INGRID PAYNE (CHIEF OPERATION OFFICER) |
| Mailing Address: | 5511 Raeford Road Suite 200 Fayetteville |
| State: | NC US |
| Postal Code: | 283043049 |
| Phone Number: | 9106305000 |
| Fax Number: | 9104246767 |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 05/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 200100701 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |