Individual
JOSEPH EDWARD SANDUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
402 WEST KING STREET, KING, NC 27021
(336) 983-9617
Mailing address
402 WEST KING STREET, KING, NC 27021
(336) 983-9617
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005376
NC
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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