Carolina Internal Medicine Of Sanford PA
Internal Medicine in Sanford, NC. Organization (NPI-2).
NPI number1104018779
StatusActive
Last updated in NPPESJun 21, 2018
Details
- NPI
- 1104018779
- Entity type
- Organization (NPI-2)
- Legal business name
- Carolina Internal Medicine Of Sanford PA
- Organization subpart
- No
- Enumeration date
- Aug 16, 2007
- Last updated
- Jun 21, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 200100910 | NC | Yes |
Practice location
4546 Hwy 87 SouthSanford, NC 27332-0212
Phone 919-499-5151 · Fax 919-499-5147
Mailing address
4546 Hwy 87 SouthSanford, NC 27332-0212
Phone 919-499-5151 · Fax 919-499-5147
Authorized official
Steven P Michael
Provider
9194995151
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