| Triad Primary Health And Wellness, Pllc | |
|
3750 Admiral Dr Ste 104 High Point NC 27265-1556 | |
| (336) 803-4111 | |
| (336) 803-4014 |
| Full Name | Triad Primary Health And Wellness, Pllc |
|---|---|
| Speciality | General Practice |
| Location | 3750 Admiral Dr Ste 104, High Point, North Carolina |
| Authorized Official Name and Position | Martina Stacey Ratliff (OWNER) |
| Authorized Official Contact | 3368034111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triad Primary Health And Wellness, Pllc 3750 Admiral Dr Ste 104 High Point NC 27265-1556 Ph: (336) 803-4111 | Triad Primary Health And Wellness, Pllc 3750 Admiral Dr Ste 104 High Point NC 27265-1556 Ph: (336) 803-4111 |
| NPI Number | 1598547010 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 09/19/2024 |
| Medicare PECOS PAC ID | 0446609911 |
|---|---|
| Medicare Enrollment ID | O20231208001561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598547010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Martina Stacey Ratliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720410749 PECOS PAC ID: 5799919486 Enrollment ID: I20131011001619 |
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