IndividualActive
Alex Sanderson, PAC
NPI 1104854967 · Medical Physician Assistant · Pembroke, NC
Provider details
- NPI number
- 1104854967
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
Practice location
307 East Wardell Drive
Pembroke, NC 28372
Phone: (910) 521-2816
Fax: (910) 521-3583
Mailing address
307 East Wardell Drive
Pembroke, NC 28372
Registry dates
- Enumerated
- 2006-06-29
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.