Organization
SANFORD SURGICAL SPECIALTIES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA L FARMER (OFFICE MANAGER)
(919) 775-7146
Entity
Organization
Contact information
Practice address
1816 DOCTORS DR, SANFORD, NC 27330-5057
(919) 775-7146
(919) 774-7922
Mailing address
1816 DOCTORS DR, SANFORD, NC 27330-5057
(919) 775-7146
(919) 774-7922
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
117811
NC
208800000X
Urology Physician
117811
NC
332B00000X
Durable Medical Equipment & Medical Supplies
117811
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014W5
BCBSNC
NC
05
—
89014W5
—
NC
Enumeration date
09/14/2006
Last updated
10/28/2010
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