Organization
FAYETTEVILLE VASCULAR AND VEIN CENTER, PA
Active
Other names
Sandhills Surgical Associates, PA
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A. LEKE MD (PRESIDENT)
(910) 401-0202
Entity
Organization
Contact information
Practice address
3410 VILLAGE DR STE 200, FAYETTEVILLE, NC 28304-4552
(910) 401-0202
(910) 401-0210
Mailing address
PO BOX 87088, FAYETTEVILLE, NC 28304-7088
(910) 401-0202
(910) 401-0210
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/11/2009
Last updated
10/30/2017
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