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OLD TOWN M.D.
NPI 1417566779
Internal Medicine in Sanford, NC

Active since July 23, 2020
500 WESTOVER DR STE 10417, SANFORD, NC 27330(704) 709-9362 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Old Town M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLD TOWN M.D. (NPI 1417566779) is a healthcare organization registered as an internal medicine in Sanford, North Carolina and active in the NPI registry since July 2020. The organization lists William J. Mazzella, President, as its authorized official.

NPPES Registry Identity

NPI1417566779
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameOLD TOWN M.D.
Location Address500 WESTOVER DR STE 10417Sanford, NC 27330-8941
Mailing Address500 Westover Dr Ste 10417Sanford, NC 27330-8941 · (704) 709-9362
Phone(704) 709-9362
Organization SubpartNo
Authorized OfficialWilliam J. MazzellaPresident · (704) 709-9362
Enumeration DateJuly 23, 2020
NPPES CertifiedJuly 23, 2020
✔ NPI 1417566779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
500 WESTOVER DR STE 10417, Sanford, NC 27330
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTERNAL MEDICINE SERVICES, P.L.L.C.
Internal Medicine
500 WESTOVER DR STE 10417
SANFORD, NC 27330
Lee County (704) 709-9362

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Old Town M.D.'s NPI number?

The NPI number for Old Town M.D. is 1417566779. It was assigned to this organization in the NPPES registry on July 23, 2020.

Where is Old Town M.D. located?

Old Town M.D. is located at 500 Westover Dr Ste 10417, Sanford, NC 27330. The listed phone number is (704) 709-9362.

What is Old Town M.D.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Old Town M.D. was last updated on July 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.