Organization
RANDY M. SLOAN FAMILY MEDICINE, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY MARK SLOAN MD (OWNER)
(910) 270-0997
Entity
Organization
Contact information
Practice address
14905 US HIGHWAY 17 N, HAMPSTEAD, NC 28443-3391
(910) 270-0997
Mailing address
14905 US HIGHWAY 17 N, HAMPSTEAD, NC 28443-3391
(910) 270-0997
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
9501103
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77033
BCBS
NC
05
—
8977033
—
NC
Enumeration date
03/09/2007
Last updated
08/22/2020
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