Organization
SANDHILLS DERMATOLOGY,PA
Active
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
Update your record
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