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Organization

SANFORD CARDIOLOGY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RHANDAL N SMART (CEO)
(910) 295-5511
Entity
Organization

Contact information

Practice address
110 FIELDS DRIVE, SUITE A, SANFORD, NC 27330-5072
(919) 777-9005
(919) 708-1550
Mailing address
110 FIELDS DRIVE, SUITE A, SANFORD, NC 27330-5072
(919) 777-9005
(919) 708-1550

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
123151
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5902813
NC
Enumeration date
10/09/2009
Last updated
10/09/2009
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