Healthcare Provider Details

I. General information

NPI: 1316369572
Provider Name (Legal Business Name): SANDHILLS ORTHO & SPINE HOLDINGS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2014
Last Update Date: 01/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 BRAEMAR COURT TURNBERRY WOOD
PINEHURST NC
28374-9998
US

IV. Provider business mailing address

PO BOX 660
SOUTHERN PINES NC
28388-0660
US

V. Phone/Fax

Practice location:
  • Phone: 910-692-3144
  • Fax: 910-692-2261
Mailing address:
  • Phone: 910-692-3144
  • Fax: 910-692-2261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number29028
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number29028
License Number StateNC

VIII. Authorized Official

Name: DR. JAMES EDWIN RICE
Title or Position: PRESIDENT
Credential: MD
Phone: 910-692-3144