NPI
Advance Family and Sports Medicine Center, PLLC
NPI 1376854083
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2010-06-28
- Last updated
- 2010-11-05
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 169 Yadkin Valley Rd, Suite 101
- City
- Advance NC
- Postal code
- 27006-8786
- Phone
- (336) 940-2659
Organization contact
- Name
- Walter Ezeigbo
- Title
- Owner/CEO
- Phone
- (336) 940-2659
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Advance, NC. 195 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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