Individual
MARK DOUGLAS LANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 REGIONAL CIR, PINEHURST, NC 28374-9796
(910) 715-8600
(910) 715-8613
Mailing address
7 REGIONAL CIR, PINEHURST, NC 28374-9796
(910) 715-8600
(910) 715-8613
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
200300170
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133N5
BLUE CROSS/BLUE SHIELD
NC
05
—
89133N5
—
NC
01
—
9878835
CIGNA
NC
01
—
A009
HEALTHNET
NC
01
—
FH2001400
FIRST CAROLINA CARE
NC
01
—
N00176
SC MEDICAID
SC
01
—
P00039438
RAILROAD
NC
Enumeration date
06/01/2006
Last updated
10/17/2024
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