Healthcare Provider Details

I. General information

NPI: 1417935461
Provider Name (Legal Business Name): SABINA PETRA FRANCIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 03/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2053 VALLEYGATE DRIVE SUITE 101
FAYETTEVILLE NC
28304
US

IV. Provider business mailing address

PO BOX 40908 ATTN: MANAGED CARE PLANNING
FAYETTEVILLE NC
28309-0908
US

V. Phone/Fax

Practice location:
  • Phone: 910-323-9222
  • Fax: 910-221-9220
Mailing address:
  • Phone: 910-615-6949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number200700491
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: