Provider Demographics
NPI:1114133766
Name:HOYTE, SANDRA MARY (MD)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:MARY
Last Name:HOYTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1617 RONALD DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6224
Mailing Address - Country:US
Mailing Address - Phone:919-871-0301
Mailing Address - Fax:919-871-0410
Practice Address - Street 1:1617 RONALD DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6224
Practice Address - Country:US
Practice Address - Phone:919-871-0301
Practice Address - Fax:919-871-0410
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC96-01343207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8910326Medicaid
NCG44429Medicare UPIN
NC8910326Medicaid