| Troyer Medical Inc Pc | |
|
107 S Central Ave Landis NC 28088-1402 | |
| (704) 855-2101 | |
| (704) 855-2105 |
| Full Name | Troyer Medical Inc Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 107 S Central Ave, Landis, North Carolina |
| Authorized Official Name and Position | Eric C Troyer (OWNER) |
| Authorized Official Contact | 7048552101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Troyer Medical Inc Pc 107 S Central Ave Landis NC 28088-1402 Ph: (704) 855-2101 | Troyer Medical Inc Pc 107 S Central Ave Landis NC 28088-1402 Ph: (704) 855-2101 |
| NPI Number | 1184935553 |
|---|---|
| Provider Enumeration Date | 06/30/2010 |
| Last Update Date | 08/23/2011 |
| Medicare PECOS PAC ID | 1557486818 |
|---|---|
| Medicare Enrollment ID | O20100910000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184935553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Eric C Troyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962409748 PECOS PAC ID: 6103717392 Enrollment ID: I20100304001033 |
| Provider Name | Paula Leshae Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336491885 PECOS PAC ID: 8022261775 Enrollment ID: I20130109000414 |
| Provider Name | Patricia Marsh Pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437735586 PECOS PAC ID: 7517369903 Enrollment ID: I20210707003288 |