Healthcare Provider Details

I. General information

NPI: 1023346731
Provider Name (Legal Business Name): HOSPITAL MEDICINE SPECIALISTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2009
Last Update Date: 01/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 KINDERTON BLVD SUITE 110
ADVANCE NC
27006-7302
US

IV. Provider business mailing address

112 KINDERTON BLVD SUITE 110
ADVANCE NC
27006-7302
US

V. Phone/Fax

Practice location:
  • Phone: 336-998-2938
  • Fax: 336-998-2998
Mailing address:
  • Phone: 336-998-2938
  • Fax: 336-998-2998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: DR. NAVNEET KUMAR SHARMA
Title or Position: OWNER
Credential: MD
Phone: 336-998-2938