Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Advance Family and Sports Medicine Center, PLLC

Organization Family Medicine Physician · NPI 1376854083

Advance Family and Sports Medicine Center, PLLC is a Family Medicine Physician in Advance, North Carolina. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

169 Yadkin Valley Rd Ste 101
Advance, NC 27006-8786
Phone: (336) 940-2659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X

Record details

NPI number1376854083
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Walter Ezeigbo — Owner/Ceo · (336) 940-2659
NPI enumeratedJune 28, 2010
Last updated in NPPESNovember 5, 2010
Mailing address169 Yadkin Valley Rd, Suite 101, Advance, NC 27006-8786

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