MEDICARE: MISS SANDRA KAY DOUGLAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)	CFM01520	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619161270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SANDRA KAY DOUGLAS

Provider Business Mailing Address
First Line	:	106 PARK AVE
Second Line	:
City	:	SANFORD
State	:	NC
Zip	:	27330-4027
Country	:	US
Telephone Number	:	919-775-2001
Fax Number	:	919-775-1053

Provider Business Practice Location Address
First Line	:	106 PARK AVE
Second Line	:
City	:	SANFORD
State	:	NC
Zip	:	27330-4027
Country	:	US
Telephone Number	:	919-775-2001
Fax Number	:	919-775-1053

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2007
Last Update Date	:	08/28/2007

Similar Medicare Providers

1083698823 — QUALITY HOME HEALTHCARE INC
Practice Location Address:

106 PARK AVE
SANFORD, NC
27330-4027

Practice Phone: 919-775-2001
Practice Fax: 919-776-8122

1255315909 — LEE H JOHNSTON INC.
Practice Location Address:

100 PARK AVE
SANFORD, NC
27330-4027

Practice Phone: 919-776-9715
Practice Fax: 919-775-1360

1134182249 — DR. JODIE ROSELINE THOMPSON D.C.
Practice Location Address:

110 PARK AVE
SANFORD, NC
27330-4027

Practice Phone: 919-776-1020
Practice Fax: 919-775-1930

1528071222 — HOME CARE PHARMACY INC NC
Practice Location Address:

104 PARK AVENUE
SANFORD, NC
27330-4027

Practice Phone: 800-948-3918
Practice Fax: 919-775-1360

1629504386 — PATRICIA JANE ELLER CMF
Practice Location Address:

106 PARK AVE
SANFORD, NC
27330-4027

Practice Phone: 919-775-2001
Practice Fax: 919-776-8122

1558918243 — SANFORD CHEMISTS, INC.
Practice Location Address:

100 PARK AVE
SANFORD, NC
27330-4027

Practice Phone: 919-776-9715
Practice Fax:

Directions to “ MISS SANDRA KAY DOUGLAS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.