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SANDHILLS MEDICAL CARE CENTER PLLC NPI 1154559839


NPI Information

NPI: 1154559839
Provider Name: SANDHILLS MEDICAL CARE CENTER, PLLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 34D1105951

Address:
4155 FERNCREEK DR
SUITE 102B
FAYETTEVILLE, NC
ZIP 28314
Phone: (910) 424-6553
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SANDHILLS MEDICAL CARE CENTER, PLLC is a clinic center in Fayetteville, NC. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SANDHILLS MEDICAL CARE CENTER, PLLC NPI is 1154559839. The provider is registered as an organization entity type.

The provider's business location address is:

4155 FERNCREEK DR
SUITE 102B
FAYETTEVILLE, NC
ZIP 28314-581
Phone: (910) 424-6553

The provider's authorized official is Godfrey Fondinka .
The authorized official title is Director and has the following contact phone number (910) 424-6553.

The CLIA number assigned to this NPI record is 34D1105951 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2009 and was last updated on 11/3/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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