Provider Demographics
NPI:1598638306
Name:SANDLIN, DREW THOMAS
Entity type:Individual
Prefix:
First Name:DREW
Middle Name:THOMAS
Last Name:SANDLIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10500 CRISP DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-7775
Mailing Address - Country:US
Mailing Address - Phone:910-233-3046
Mailing Address - Fax:
Practice Address - Street 1:10500 CRISP DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-7775
Practice Address - Country:US
Practice Address - Phone:910-233-3046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC323688163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse