| Organization Name: | RANDY M. SLOAN FAMILY MEDICINE, P.A |
| NPI Number: | 1073644928 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RANDY MARK SLOAN (OWNER) |
| Mailing Address: | 14905 Us Highway 17 N Hampstead |
| State: | NC US |
| Postal Code: | 284433391 |
| Phone Number: | 9102700997 |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 9501103 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |