Organization
SANDHILLS HEART SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT FIETSAM MD (HEART SURGEON)
(910) 323-9922
Entity
Organization
Contact information
Practice address
3419 MELROSE ROAD, A, FAYETTEVILLE, NC 28304-1608
(910) 323-9922
(910) 323-9501
Mailing address
3419 MELROSE ROAD, A, FAYETTEVILLE, NC 28304-1608
(910) 323-9922
(910) 323-9501
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
111444
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8931917
—
NC
Enumeration date
01/26/2007
Last updated
08/22/2020
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