Organization
SANDY SHORES PRIMARY CARE, PLLC
Active
Parent organization
SANDY SHORES MEDICAL CENTER AND URGENT CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANDY SHORES MEDICAL CENTER AND URGENT CARE
Authorized official
REBECCA L COOPER PAC (OWNER)
(910) 789-9883
Entity
Organization
Contact information
Practice address
13741 NC HIGHWAY 50 STE A, SURF CITY, NC 28445-6935
(910) 777-2732
(910) 777-2742
Mailing address
13741 NC HIGHWAY 50 STE A, SURF CITY, NC 28445-6935
(910) 777-2782
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104159540
—
NC
Enumeration date
02/16/2022
Last updated
02/16/2022
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