SANDY SHORES PRIMARY CARE PLLC NPI 1508511767

NPI Information

SANDY SHORES PRIMARY CARE, PLLC is a primary care clinic center in Surf City, NC. SANDY SHORES PRIMARY CARE, PLLC NPI is 1508511767. The provider is registered as an organization entity type.

The provider's business location address is:

13741 NC HIGHWAY 50 STE A
SURF CITY, NC
ZIP 28445-935
Phone: (910) 777-2732
Fax: (910) 777-2742

The provider's authorized official is Rebecca L Cooper .
The authorized official title is Owner and has the following contact phone number (910) 789-9883.

The enumeration date for this NPI number is 2/16/2022 and was last updated on 2/16/2022.

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:

Other Identifiers

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