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

Graceful Aging, PC

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1316259013

Graceful Aging, PC is a Geriatric Medicine (Family Medicine) Physician in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2010.

Licensed in
NC
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2732 Bardolino Dr
Fayetteville, NC 28306-4636
Phone: (910) 868-6477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X · Licence 200601059 (NC)

Record details

NPI number1316259013
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susannah Ogunwo — President · (910) 868-6477
NPI enumeratedJuly 9, 2010
Last updated in NPPESJuly 9, 2010
Mailing addressPo Box 87142, Fayetteville, NC 28304-7142

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