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NPI Verification

National Provider Identifier: 1376854083

Advance Family and Sports Medicine Center, PLLC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Family Medicine, Sports Medicine

Code: 207QS0010X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

169 YADKIN VALLEY RD

SUITE 101

ADVANCE, NC 270068786

Phone: 336-940-2659

NPI Enumeration Date

June 28, 2010

NPI Number

1376854083

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry