Healthcare Provider Details

I. General information

NPI: 1821612292
Provider Name (Legal Business Name): SARAH E. M. PARDUE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2020
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1041 KIRKPATRICK RD STE 200
BURLINGTON NC
27215-8066
US

IV. Provider business mailing address

109 BRIDGE ST STE 201
DANVILLE VA
24541-1222
US

V. Phone/Fax

Practice location:
  • Phone: 336-584-3100
  • Fax: 336-584-0696
Mailing address:
  • Phone: 434-799-4488
  • Fax: 434-773-6977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2023-02487
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: