SANFORD DERMATOLOGY PA NPI 1487720264

NPI Information

  • NPI: 1487720264
  • Provider Name: SANFORD DERMATOLOGY, PA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 34D0238673
  • Address: 827 S HORNER BLVD
    SANFORD, NC
    ZIP 27330
  • Phone: (919) 775-7926

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NPI Details

SANFORD DERMATOLOGY, PA is a specialist in Sanford, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SANFORD DERMATOLOGY, PA NPI is 1487720264. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

827 S HORNER BLVD
SANFORD, NC
ZIP 27330-342
Phone: (919) 775-7926
Fax: (919) 718-0092

The provider's authorized official is John D Cheesborough .
The authorized official title is Doctor and has the following contact phone number (919) 775-7926.

The CLIA number assigned to this NPI record is 34D0238673 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/25/2006 and was last updated on 9/8/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist21635NORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18922235MEDICAIDNORTH CAROLINA
21298MEDICARE PINNORTH CAROLINA
3C83205MEDICARE UPINNORTH CAROLINA

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: 3/30/2025

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