Organization
SANDHILLS NEUROLOGISTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MANJORIN (PRACTICE MANAGER)
(910) 235-0595
Entity
Organization
Contact information
Practice address
295 OLMSTED BLVD, MELLON BLDG. STE. 12, PINEHURST, NC 28374-9131
(910) 235-0595
(910) 235-0546
Mailing address
PO BOX 4005, PINEHURST, NC 28374-4005
(910) 235-0595
(910) 235-0546
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011CT
BLUE CROSS BLUE SHIELD
NC
05
—
89011CT
—
NC
01
—
CH0889
RAILROAD MEDICARE
NC
Enumeration date
12/01/2006
Last updated
10/23/2022
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