OrganizationActive
Carolina Anti-Aging & Wellness Center PA
NPI 1013142488 · Primary Care Clinic/Center · Sanford, NC
Provider details
- NPI number
- 1013142488
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Susan Durham, President(919) 774-0502
- License
- 39413 (NC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
1227 Carthage St
Sanford, NC 27330-8984
Phone: (919) 774-0502
Fax: (919) 774-0505
Approximate (ZIP-level) locationGet directions
Mailing address
1227 Carthage St
Sanford, NC 27330-8984
Registry dates
- Enumerated
- 2009-05-28
- Last updated
- 2009-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.