# SURF CITY URGENT CARE AND FAMILY MEDICINE PLLC

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

## Provider details

- **NPI number:** 1538232327
- **Authorized official:** RANDY M SLOAN MD (PHYSICIAN)
- **Authorized official phone:** (910) 329-9812

## Contact information

- **Practice address:** 13520 HIGHWAY 50 210, SURF CITY, NC 28445
- **Practice address phone:** (910) 329-9812
- **Practice address fax:** (910) 329-9816
- **Mailing address:** PO BOX 850, HAMPSTEAD, NC 28443-0850
- **Mailing address phone:** (910) 329-9812
- **Mailing address fax:** (910) 329-9816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 9501103 | NC | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 11/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 017Y8 | BLUE CROSS GROUP NUMBER | NC |