Organization Name: | SANDHILLS INTERNAL MEDICINE CLINIC, PA |
NPI Number: | 1114042223 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMIR M DARWISH (PRESIDENT) |
Mailing Address: | 125 Biltmore Dr Suite #2 Rockingham |
State: | NC US |
Postal Code: | 283794928 |
Phone Number: | 9108956650 |
Fax Number: | 9108956682 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 10/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 5005332 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |