Provider Demographics
NPI:1558348771
Name:SANDHILLS CARDIOLOGY PC
Entity Type:Organization
Organization Name:SANDHILLS CARDIOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD BILLING REP
Authorized Official - Prefix:
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-527-8010
Mailing Address - Street 1:PO BOX 1256
Mailing Address - Street 2:
Mailing Address - City:HAMLET
Mailing Address - State:NC
Mailing Address - Zip Code:28345-1256
Mailing Address - Country:US
Mailing Address - Phone:704-527-8010
Mailing Address - Fax:704-527-6062
Practice Address - Street 1:1000 W HAMLET AVE
Practice Address - Street 2:
Practice Address - City:HAMLET
Practice Address - State:NC
Practice Address - Zip Code:28345-4522
Practice Address - Country:US
Practice Address - Phone:704-527-8010
Practice Address - Fax:704-527-6062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20001193174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty