Individual
JOHN SARDELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4654 LONG BEACH RD SE, SOUTHPORT, NC 28461-8799
(910) 457-9564
Mailing address
10250 TIMBER RIDGE CT SE, LELAND, NC 28451-8536
(910) 520-1514
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
101496
NC
Other
Enumeration date
09/29/2006
Last updated
12/03/2007
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