Sanford Medical Group, P.A.
LBN: Sanford Medical Group, P.A.
Sanford Medical Group, P.A. is an health care organization with primary practice located at 555 Carthage St , Sanford NC 27330-4104. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Sanford Medical Group, P.A. can be contacted via phone (919) 774-6518, or through Mangum, John Rowland via phone (919) 774-6518.
Contact Information
Primary practice address
555 Carthage St
Sanford NC 27330-4104
Phone: (919) 774-6518
Fax: (919) 774-1831
Website:
Authorized official contact:
Name: Mangum, John Rowland Doctor of Medicine (MD)
Phone: (919) 774-6518
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1972550903 |
|---|---|
| LBN Legal business name | Sanford Medical Group, P.A. |
| DBA Doing business as | |
| Authorized official | Mangum, John Rowland Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972550903 | NPPES |
| North Carolina | MEDICAID | 8902610 | |
| North Carolina | Other | 02610 |
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