ADVANCE FAMILY AND SPORTS MEDICINE CENTER, PLLC – NPI #1376854083
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

ADVANCE FAMILY AND SPORTS MEDICINE CENTER, PLLC is a provider located in ADVANCE, NC. NPPES has assigned the NPI number 1376854083 to ADVANCE FAMILY AND SPORTS MEDICINE CENTER, PLLC on June 28, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 16 years ago on Nov 05, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCE FAMILY AND SPORTS MEDICINE CENTER, PLLC below.

NPI Profile for
ADVANCE FAMILY AND SPORTS MEDICINE CENTER, PLLC

NPI Number
1376854083
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCE FAMILY AND SPORTS MEDICINE CENTER, PLLC
Primary location
169 YADKIN VALLEY RD
SUITE 101
ADVANCE, NC 27006-8786
Phone: (336) 940-2659 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WALTER EZEIGBO
OWNER/CEO
Phone: (336) 940-2659
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
207QS0010X
- Family Medicine / Sports Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.