# BRICK CITY PRIMARY CARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003050238
- **Authorized official:** DR. DANA L GARRETT M.D. (PARTNER)
- **Authorized official phone:** (919) 776-7725

## Contact information

- **Practice address:** 125 CHATHAM ST, SANFORD, NC 27330-4335
- **Practice address phone:** (919) 776-7725
- **Practice address fax:** (919) 776-0511
- **Mailing address:** PO BOX 237, SANFORD, NC 27331-0237
- **Mailing address phone:** (919) 776-7725
- **Mailing address fax:** (919) 776-0511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 9700960 | NC | Yes |

## Other

- **Enumeration date:** 05/01/2009
- **Last updated:** 05/01/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8911033 | — | NC |
| 01 | — | G38837 | UPIN | NC |