| Sandhills Family Practice P A | |
|
101 Church Street Broadway NC 27505 | |
| (919) 258-9214 | |
| (919) 258-6693 |
| Full Name | Sandhills Family Practice P A |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Church Street, Broadway, North Carolina |
| Authorized Official Name and Position | Robin M Thompson (INSURANCE MANAGER) |
| Authorized Official Contact | 9197746023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandhills Family Practice P A 1125 Carthage St Sanford NC 27330-4162 Ph: (919) 774-6023 | Sandhills Family Practice P A 101 Church Street Broadway NC 27505 Ph: (919) 258-9214 |
| NPI Number | 1356568927 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 12/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356568927 | NPI | - | NPPES |
| 890134A | Medicaid | NC | |
| 5921115 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Dlp Central Carolina Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Church St, Broadway, NC 27505 Phone: 919-258-6521 Fax: 919-258-6693 |