Sandhills Family Practice P A | |
101 Church Street Broadway NC 27505 | |
(919) 258-9214 | |
(919) 258-6693 |
Full Name | Sandhills Family Practice P A |
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Speciality | Family Medicine |
Location | 101 Church Street, Broadway, North Carolina |
Authorized Official Name and Position | Robin M Thompson (INSURANCE MANAGER) |
Authorized Official Contact | 9197746023 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sandhills Family Practice P A 1125 Carthage St Sanford NC 27330-4162 Ph: (919) 774-6023 | Sandhills Family Practice P A 101 Church Street Broadway NC 27505 Ph: (919) 258-9214 |
NPI Number | 1356568927 |
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Provider Enumeration Date | 04/18/2007 |
Last Update Date | 12/27/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356568927 | NPI | - | NPPES |
890134A | Medicaid | NC | |
5921115 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Central Carolina Sandhills Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Church St, Broadway, NC 27505 Phone: 919-258-6521 Fax: 919-258-6693 |