Provider Demographics
NPI:1730451717
Name:AAA ALL AMERICAN ASSOCIATES IN FAMILY MEDICINE, PLLC
Entity type:Organization
Organization Name:AAA ALL AMERICAN ASSOCIATES IN FAMILY MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOS
Authorized Official - Middle Name:R
Authorized Official - Last Name:SANTZ
Authorized Official - Suffix:I
Authorized Official - Credentials:MD
Authorized Official - Phone:910-339-1446
Mailing Address - Street 1:1750 METROMEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-3861
Mailing Address - Country:US
Mailing Address - Phone:910-339-1446
Mailing Address - Fax:877-500-1463
Practice Address - Street 1:1750 METROMEDICAL DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-3861
Practice Address - Country:US
Practice Address - Phone:910-339-1446
Practice Address - Fax:877-500-1463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-06
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC180763261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center