| Old Town M.d. | |
|
500 Westover Dr Ste 10417 Sanford NC 27330-8941 | |
| (704) 709-9362 | |
| Not Available |
| Full Name | Old Town M.d. |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 Westover Dr Ste 10417, Sanford, North Carolina |
| Authorized Official Name and Position | William J. Mazzella (PRESIDENT) |
| Authorized Official Contact | 7047099362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Town M.d. 500 Westover Dr Ste 10417 Sanford NC 27330-8941 Ph: (704) 709-9362 | Old Town M.d. 500 Westover Dr Ste 10417 Sanford NC 27330-8941 Ph: (704) 709-9362 |
| NPI Number | 1417566779 |
|---|---|
| Provider Enumeration Date | 07/23/2020 |
| Last Update Date | 07/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417566779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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