Advance Family and Sports Medicine Center, Pllc
NPI #1376854083 in Advance, North Carolina
Provider Information
- NPI Number
- 1376854083
- Entity Type
- Organization
- Organization Name
- Advance Family and Sports Medicine Center, Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 28, 2010
- Last Updated
- Nov 5, 2010
Practice Location
- Address
- 169 YADKIN VALLEY RD
- Address 2
- SUITE 101
- City
- Advance
- State
- North Carolina
- ZIP Code
- 27006-8786
- Phone
- (336) 940-2659
Authorized Official
- Name
- DR. WALTER EZEIGBO, MD
- Title
- OWNER/CEO
- Phone
- (336) 940-2659
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Sports Medicine — Sports Medicine |
| Family Medicine |
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