Healthcare Provider Details

I. General information

NPI: 1639364227
Provider Name (Legal Business Name): WENDELL MEDICAL CENTER PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2007
Last Update Date: 03/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 COOK STREET
WENDELL NC
27591
US

IV. Provider business mailing address

PO BOX 1900
WENDELL NC
27591-1900
US

V. Phone/Fax

Practice location:
  • Phone: 919-365-7366
  • Fax:
Mailing address:
  • Phone: 919-365-7366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number9400072
License Number StateNC

VIII. Authorized Official

Name: DR. SAYED A HASHEMEE
Title or Position: PHYSICIAN
Credential: MD
Phone: 919-365-7366