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RANDY M. SLOAN FAMILY MEDICINE P.A NPI 1073644928


NPI Information

NPI: 1073644928
Provider Name: RANDY M. SLOAN FAMILY MEDICINE, P.A
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
14905 US HIGHWAY 17 N
HAMPSTEAD, NC
ZIP 28443
Phone: (910) 270-0997
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RANDY M. SLOAN FAMILY MEDICINE, P.A is a primary care clinic center in Hampstead, NC. RANDY M. SLOAN FAMILY MEDICINE, P.A NPI is 1073644928. The provider is registered as an organization entity type.

The provider's business location address is:

14905 US HIGHWAY 17 N
HAMPSTEAD, NC
ZIP 28443-391
Phone: (910) 270-0997

The provider's authorized official is Randy Mark Sloan .
The authorized official title is Owner and has the following contact phone number (910) 270-0997.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 8/22/2020.


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
1261QP2300XClinic/CenterPrimary Care9501103NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18977033MEDICAIDNORTH CAROLINA
277033OTHERNORTH CAROLINABCBS

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: 11/14/2023

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