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Organization

SANDHILLS DERMATOLOGY,PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBORAH SUGLIA (OFFICE MG)
(910) 295-3100
Entity
Organization

Contact information

Practice address
40 AVIEMORE DR, PINEHURST, NC 28374-9700
(910) 295-3100
(910) 295-1460
Mailing address
40 AVIEMORE DR, PINEHURST, NC 28374-9700
(910) 295-3100
(910) 295-1460

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
30865
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7980752
NC
01
80752
BCBS PROVIDER #
NC
Enumeration date
01/16/2007
Last updated
01/17/2008
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