Sandidge, Darryl

Sandidge, Darryl is an sole proprietor health care provider with primary practice located at 1260 N Arendell Ave , Zebulon NC 27597-8730. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Urgent Care, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Sandidge, Darryl can be contacted via phone (919) 235-1965.

Contact Information

Primary practice address
1260 N Arendell Ave Zebulon NC 27597-8730
Phone: (919) 235-1965
Fax: (919) 235-1326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 0010-06204 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102240 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-06204 North Carolina

Profile Details

NPI number 1730141938
LBN Legal business name Sandidge, Darryl
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2006
Last updated Oct 27th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730141938 NPPES
North Carolina Other 0010-06204 NC MEDICAL BOARD

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