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Miss Sandra Kay Douglas
Customized Equipment (DME) in Sanford, North Carolina
NPI 1619161270

Sandra Kay Douglas is a Customized Equipment (DME) based in Sanford, NC and is specialized in Customized Equipment. Sandra Kay Douglas practices in Sanford, NC. The NPI Number for Sandra Kay Douglas is 1619161270 and holds a License No. CFM01520 (North Carolina).

The current practice location address for Sandra Kay Douglas is 106 Park Ave, Sanford, NC and can be reached out via phone at 919-775-2001 and via fax at 919-775-1053.

Location: 106 Park Ave, Sanford, NC, 27330-4027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619161270
Provider Name
Sandra Kay Douglas
Credential
Provider Entity Type
Individual
Gender
Female
Address
106 Park Ave, Sanford, NC, 27330-4027
Phone Number
919-775-2001
Fax Number
919-775-1053
Provider Enumeration Date
08/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7795301 05 NC
institution
Provider Business Practice Location Address Details
Address
106 Park Ave
City
Sanford
State
North Carolina
Zip
27330-4027
Phone Number
919-775-2001
Fax Number
919-775-1053
person
Provider Business Mailing Address Details
Address
106 Park Ave
City
Sanford
State
North Carolina
Zip
27330-4027
Phone Number
919-775-2001
Fax Number
919-775-1053
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
CFM01520 (North Carolina)
Definition
Definition to come...
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