Organization
MEDICAL SPECIALISTS' CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SADANAND HEDGE MD (PRESIDENT)
(910) 738-1141
Entity
Organization
Contact information
Practice address
4384 FAYETTEVILLE RD, LUMBERTON, NC 28358-2677
(910) 738-1141
(910) 738-6011
Mailing address
4384 FAYETTEVILLE RD, LUMBERTON, NC 28358-2677
(910) 738-1141
(910) 738-6011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9601101
NC
207R00000X
Internal Medicine Physician
9700753
NC
207RC0000X
Cardiovascular Disease Physician
Primary
25596
NC
207RP1001X
Pulmonary Disease Physician
26135
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02142
BCBS
NC
05
—
8902142
—
NC
Enumeration date
08/31/2005
Last updated
10/25/2012
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