OrganizationActive
Advance Family and Sports Medicine Center, PLLC
NPI 1376854083 · Family Medicine Physician · Advance, NC
Provider details
- NPI number
- 1376854083
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Walter Ezeigbo, Owner/Ceo
Practice location
169 Yadkin Valley Rd
Suite 101
Advance, NC 27006-8786
Phone: (336) 940-2659
Mailing address
169 Yadkin Valley Rd
Advance, NC 27006-8786
Registry dates
- Enumerated
- 2010-06-28
- Last updated
- 2010-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.