Individual
SANDY B ADCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 PINEVIEW DR STE 101, KERNERSVILLE, NC 27284-3813
(336) 992-1351
(336) 992-1361
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 765-0020
(336) 765-0581
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
90040
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000922
—
NC
Enumeration date
01/06/2006
Last updated
03/07/2023
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