| Sands Clinic, Pa | |
|
119 Medical Cir Rockingham NC 28379-5221 | |
| (910) 719-4043 | |
| (910) 817-7193 |
| Full Name | Sands Clinic, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 119 Medical Cir, Rockingham, North Carolina |
| Authorized Official Name and Position | Gilbert Domingo Arenas (PHYSICIAN) |
| Authorized Official Contact | 9107194043 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sands Clinic, Pa 119 Medical Cir Rockingham NC 28379-5221 Ph: (910) 719-4043 | Sands Clinic, Pa 119 Medical Cir Rockingham NC 28379-5221 Ph: (910) 719-4043 |
| NPI Number | 1679818413 |
|---|---|
| Provider Enumeration Date | 12/05/2012 |
| Last Update Date | 07/05/2023 |
| Medicare PECOS PAC ID | 9537396841 |
|---|---|
| Medicare Enrollment ID | O20131212000440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679818413 | NPI | - | NPPES |
| 10005 | Other | NC | BCBS |
| 8910005 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | NC35256 (North Carolina) | Primary |
| Provider Name | Gilbert D Arenas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639227184 PECOS PAC ID: 6305910373 Enrollment ID: I20080808000576 |
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