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Kiara Fortune
NPI 1154506863 · on the registry since 2008
Practice
- Address
- 325 N Cool Spring St
Fayetteville, NC 28301 - Phone
- (910) 323-4925
- Organisation at this address
- Heritage Place
Aegis Group Practice LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 225400000X
225400000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-01-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina