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NPI Code Detail

MEDICARE: SANDHILLS CENTER FOR MD/DD/SAS

MEDICARE: SANDHILLS CENTER FOR MD/DD/SAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1302F00000XExclusive Provider Organization

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952640765
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANDHILLS CENTER FOR MD/DD/SAS
Provider Business Mailing Address
First Line : PO BOX 9
Second Line :
City : WEST END
State : NC
Zip : 27376-0009
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1120 7 LAKES DR
Second Line :
City : WEST END
State : NC
Zip : 27376-9082
Country : US
Telephone Number : 910-673-9111
Fax Number :
Authorized Official
Title or Position : CEO
Name : MRS. VICTORIA WHITT
Credential :
Telephone Number : 910-673-9111
Provider Enumeration Date : 02/14/2013
Last Update Date : 02/14/2013

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Directions to “SANDHILLS CENTER FOR MD/DD/SAS ” Practice Location

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