| Sandhills Pediatrics | |
|
195 W Illinois Ave Southern Pines NC 28387-5808 | |
| (910) 692-2444 | |
| (910) 692-3651 |
| Full Name | Sandhills Pediatrics |
|---|---|
| Speciality | Pediatrics |
| Location | 195 W Illinois Ave, Southern Pines, North Carolina |
| Authorized Official Name and Position | Rosa Galvez (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 9106922444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandhills Pediatrics 195 W Illinois Ave Southern Pines NC 28387-5808 Ph: (910) 692-2444 | Sandhills Pediatrics 195 W Illinois Ave Southern Pines NC 28387-5808 Ph: (910) 692-2444 |
| NPI Number | 1114998150 |
|---|---|
| Provider Enumeration Date | 01/28/2006 |
| Last Update Date | 07/31/2019 |
| Medicare PECOS PAC ID | 0648688002 |
|---|---|
| Medicare Enrollment ID | O20210423000613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114998150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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