OrganizationFaillace General SurgerySurgeryAllopathic & Osteopathic PhysiciansPractice Address2041 Valleygate Dr, Suite 202-A, Fayetteville, NC 28304-3688(910) 485-6277(919) 544-6318PECOS EnrollmentBased on the most recent information from CMS, provider Faillace General Surgery does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1497712822Provider TypeOrganizationFull NameFaillace General SurgerySubpartNoEnumeration Date4/28/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address2041 Valleygate Dr, Suite 202-A, Fayetteville, NC 28304-3688Phone(910) 485-6277FaxUnlisted FaxMailing LocationMailing AddressPO Box 61811, Durham, NC 27715-1811Phone(919) 544-6318Fax(919) 544-6336Authorized OfficialNameFaillace, Deon F (President)Phone(910) 485-6277Provider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID7931041DescriptionMedicaidIssuerUnlistedNorth Carolina