Provider Demographics
NPI:1487809786
Name:SOUND MEDICAL, P.A.
Entity type:Organization
Organization Name:SOUND MEDICAL, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:RICKABAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:252-247-3476
Mailing Address - Street 1:300 TAYLOR NOTION RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:CAPE CARTERET
Mailing Address - State:NC
Mailing Address - Zip Code:28584-8944
Mailing Address - Country:US
Mailing Address - Phone:252-354-1970
Mailing Address - Fax:252-354-1968
Practice Address - Street 1:300 TAYLOR NOTION RD
Practice Address - Street 2:SUITE E
Practice Address - City:CAPE CARTERET
Practice Address - State:NC
Practice Address - Zip Code:28584-8944
Practice Address - Country:US
Practice Address - Phone:252-354-1970
Practice Address - Fax:252-354-1968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-01
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty