Old Town MD
Old Town MD is an Internal Medicine Physician in Sanford, North Carolina. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
500 Westover Dr Ste 10417Sanford, NC 27330-8941
Phone: (704) 709-9362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|
Record details
| NPI number | 1417566779 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | William Mazzella — President · (704) 709-9362 |
| NPI enumerated | July 23, 2020 |
| Last updated in NPPES | July 23, 2020 |
| Certification date | July 23, 2020 |
| Mailing address | 500 Westover Dr Ste 10417, Sanford, NC 27330-8941 |
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