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

Country Club II

Organization Lodging Provider · NPI 1316087992

Country Club II is a Lodging Provider in Sophia, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007

Practice location Address checks out

4011 Old Courthouse Rd
Sophia, NC 27350-8866
Phone: (336) 674-6293
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lodging Provider (primary) Taxonomy 177F00000X · Licence FCL076031 (NC)

Record details

NPI number1316087992
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pearlie Bullock — Administrator · (336) 674-6293
NPI enumeratedFebruary 6, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1324 Coltrane Mill Rd, Randleman, NC 27317-8020