Advance Family And Sports Medicine Center, Pllc

LBN: Advance Family And Sports Medicine Center, Pllc
Advance Family And Sports Medicine Center, Pllc is an health care organization with primary practice located at 169 Yadkin Valley Rd Suite 101, Advance NC 27006-8786. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Advance Family And Sports Medicine Center, Pllc can be contacted via phone (336) 940-2659, or through Ezeigbo, Walter via phone (336) 940-2659.

Contact Information

Primary practice address
169 Yadkin Valley Rd Suite 101 Advance NC 27006-8786
Phone: (336) 940-2659
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ezeigbo, Walter Doctor of Medicine (MD)
Phone: (336) 940-2659

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X

Profile Details

NPI number 1376854083
LBN Legal business name Advance Family And Sports Medicine Center, Pllc
DBA Doing business as
Authorized official Ezeigbo, Walter Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2010
Last updated Nov 5th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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