# SANDRA GAIL KOLB FAMILY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Indian Creek Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710603014
- **Authorized official:** SANDRA KOLB NP-C (PROVIDER)
- **Authorized official phone:** (910) 339-4674

## Contact information

- **Practice address:** 138 HUNTER CIR, FAYETTEVILLE, NC 28304-3422
- **Practice address phone:** (910) 339-4674
- **Practice address fax:** (910) 339-4676
- **Mailing address:** 138 HUNTER CIR, FAYETTEVILLE, NC 28304-3422
- **Mailing address phone:** (910) 339-4674
- **Mailing address fax:** (910) 339-4676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/18/2022
- **Last updated:** 10/18/2022