Organization · Type 2 NPI
Pine Ridge of Sanford Primary Care PLLC
Primary Care Clinic/Center · Sanford, NC
NPI number
1639540180
Active
Practice location
3072 South Horner Blvd
Sanford, NC 27331
Mailing address
PO Box 1163
Sanford, NC 27331-1163
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 1471498 (NC) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1639540180
Pine Ridge of Sanford Primary Care PLLC's National Provider Identifier is 1639540180, issued on Oct 9, 2015. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Sanford, NC. The record was last updated on Oct 9, 2015.