Healthcare Provider Details

I. General information

NPI: 1285375741
Provider Name (Legal Business Name): JAMES BAILEY SANFORD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2022
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3853 US 311 HWY N
PINE HALL NC
27042-8184
US

IV. Provider business mailing address

PO BOX 10
DANBURY NC
27016-7360
US

V. Phone/Fax

Practice location:
  • Phone: 336-427-3076
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2023-03411
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number2023-03411
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: