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NPI Code Detail

MEDICARE: MEDICAL SPECIALISTS' CLINIC, PA

MEDICARE: MEDICAL SPECIALISTS' CLINIC, PA
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
1207RP1001XPulmonary Disease Physician26135NC
2207R00000XInternal Medicine Physician9700753NC
3207R00000XInternal Medicine Physician9601101NC
4207RC0000XCardiovascular Disease Physician25596NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
102142OTHERNCBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992799308
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL SPECIALISTS' CLINIC, PA
Provider Business Mailing Address
First Line : 4384 FAYETTEVILLE RD
Second Line :
City : LUMBERTON
State : NC
Zip : 28358-2677
Country : US
Telephone Number : 910-738-1141
Fax Number : 910-738-6011
Provider Business Practice Location Address
First Line : 4384 FAYETTEVILLE RD
Second Line :
City : LUMBERTON
State : NC
Zip : 28358-2677
Country : US
Telephone Number : 910-738-1141
Fax Number : 910-738-6011
Authorized Official
Title or Position : PRESIDENT
Name : DR. SADANAND HEDGE
Credential : MD
Telephone Number : 910-738-1141
Provider Enumeration Date : 08/31/2005
Last Update Date : 10/25/2012

Similar Medicare Providers

1346247756 — PINAKIN PUSHKARRAI VIAS M.D.
Practice Location Address:
4384 FAYETTEVILLE RD
LUMBERTON, NC
28358-2677
Practice Phone: 910-738-1141
Practice Fax: 910-738-1142
1790782290 — SOMNATH NARAYAN NAIK M.D.
Practice Location Address:
4384 FAYETTEVILLE RD
LUMBERTON, NC
28358-2677
Practice Phone: 910-738-1141
Practice Fax: 910-738-6011
1407855034 — MARY M BLACK
Practice Location Address:
4300 FAYETTEVILLE RD
LUMBERTON, NC
28358-2677
Practice Phone: 910-671-5830
Practice Fax:
1912978727 — NORTH STATE OPTICS INC
Practice Location Address:
4336 FAYETTEVILLE RD
LUMBERTON, NC
28358-2677
Practice Phone: 910-738-9335
Practice Fax: 910-738-2238
1740246115 — DR. ANDREW ADAM HENDRICKS MD
Practice Location Address:
4390 FAYETTEVILLE RD
LUMBERTON, NC
28358-2677
Practice Phone: 910-738-7154
Practice Fax: 910-738-4455
1568414720 — KWADWO AGYEI-GYAMFI M.D.
Practice Location Address:
4348 FAYETTEVILLE RD
LUMBERTON, NC
28358-2677
Practice Phone: 910-739-2519
Practice Fax: 910-739-5294

Directions to “MEDICAL SPECIALISTS' CLINIC, PA ” Practice Location

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