Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Age-Undefined, PLLC

Organization Medical Physician Assistant · NPI 1891667861

Age-Undefined, PLLC is a Medical Physician Assistant in Fayetteville, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2625 Raeford Rd
Fayetteville, NC 28303-5471
Phone: (910) 286-6335
Fax: (910) 786-1602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1891667861
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Festa — Owner/Operator · (910) 286-6335
NPI enumeratedSeptember 19, 2025
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025
Mailing address2501 Lockwood Rd, Fayetteville, NC 28303-5026

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