| Organization Name: | SANDHILLS PEDIATRICS |
| NPI Number: | 1114998150 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICE R. PETERSON (PRACTICE MANAGER) |
| Mailing Address: | 195 W Illinois Ave Southern Pines |
| State: | NC US |
| Postal Code: | 283875808 |
| Phone Number: | 9106922444 |
| Fax Number: | 9106923651 |
| NPI Enumeration Date: | 01/28/2006 |
| NPI Last Update Date: | 05/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 300141 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |