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Organization
SANFORD NEPHROLOGY CLINIC PA
Active
Organization
SANFORD NEPHROLOGY CLINIC PA
Active
Other names
Sanford Nephrology Clinic, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS C. PHILLIPS III M.D. (OWNER/PHYSICIAN)
(919) 356-8504
Entity
Organization
Contact information
Practice address
1139 CARTHAGE ST, STE 105, SANFORD, NC 27330
(919) 774-2875
(919) 708-4696
Mailing address
4552 HIGHWAY 421, BRISTOL, TN 37620-0627
(919) 356-8504
(919) 708-4696
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8967669
—
NC
Enumeration date
01/06/2006
Last updated
03/22/2022
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