| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 214 E Elm St, Graham, North Carolina |
| Authorized Official Name and Position | Robert L Goldstein (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 3366635001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1200 N Elm St Greensboro NC 27401-1020 Ph: (336) 832-9513 | 214 E Elm St Graham NC 27253-3022 Ph: (336) 266-2448 |
| NPI Number | 1568745149 |
|---|---|
| Provider Enumeration Date | 09/21/2011 |
| Last Update Date | 01/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568745149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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