Basic Information
| Provider Information | |||||||||
| NPI: | 1487809786 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | SOUND MEDICAL, P.A. | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | SOUND MEDICAL | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 300 TAYLOR NOTION RD | ||||||||
| Address2: | SUITE E | ||||||||
| City: | CAPE CARTERET | ||||||||
| State: | NC | ||||||||
| PostalCode: | 285848944 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2523541970 | ||||||||
| FaxNumber: | 2523541968 | ||||||||
| Practice Location | |||||||||
| Address1: | 300 TAYLOR NOTION RD | ||||||||
| Address2: | SUITE E | ||||||||
| City: | CAPE CARTERET | ||||||||
| State: | NC | ||||||||
| PostalCode: | 285848944 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2523541970 | ||||||||
| FaxNumber: | 2523541968 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/01/2008 | ||||||||
| LastUpdateDate: | 01/02/2014 | ||||||||
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| AuthorizedOfficialLastName: | RICKABAUGH | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 2522473476 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.