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Organization
SANDHILLS NEPHROLOGY AND INTERNAL MEDICINE, P.A.
Active
Organization
SANDHILLS NEPHROLOGY AND INTERNAL MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MILDRED ENID ROMEU (OFFICE MANAGER)
(910) 323-1671
Entity
Organization
Contact information
Practice address
1218 WALTER REED RD, FAYETTEVILLE, NC 28304-4440
(910) 323-1671
(910) 323-9656
Mailing address
1218 WALTER REED RD, FAYETTEVILLE, NC 28304-4440
(910) 323-1671
(910) 323-9656
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0197C
BLUE CROSS/BLUE SHIELD
NC
05
—
790197C
—
NC
Enumeration date
10/17/2006
Last updated
09/30/2008
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