Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Advance Family and Sports Medicine Center, PLLC

Organization Family Medicine Physician · NPI 1376854083

Advance Family and Sports Medicine Center, PLLC provides Family Medicine Physician services in Advance, North Carolina. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

169 Yadkin Valley Rd Ste 101
Advance, NC 27006-8786 Not confirmed with CMS for 15 years — call before visiting
Phone: (336) 940-2659
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X

Record details

NPI number1376854083
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Walter Ezeigbo — Owner/Ceo · (336) 940-2659
NPI enumeratedJune 28, 2010
Last updated in NPPESNovember 5, 2010
Mailing address169 Yadkin Valley Rd, Suite 101, Advance, NC 27006-8786

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