Organization
SANFORD NEPHROLOGY CLINIC PA
Active
Other names
Sanford Nephrology Clinic, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS C. PHILLIPS III M.D. (OWNER/PHYSICIAN)
(919) 356-8504
Entity
Organization
Contact information
Practice address
1139 CARTHAGE ST, STE 105, SANFORD, NC 27330
(919) 774-2875
(919) 708-4696
Mailing address
4552 HIGHWAY 421, BRISTOL, TN 37620-0627
(919) 356-8504
(919) 708-4696
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8967669
—
NC
Enumeration date
01/06/2006
Last updated
03/22/2022
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