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Old Town Family Medicine, P A
Clinic/Center in Winston Salem, North Carolina
NPI 1447370101

Old Town Family Medicine, P A is a Clinic/Center based in Winston Salem, NC. Old Town Family Medicine, P A practices in Winston Salem, NC. The NPI Number for Old Town Family Medicine, P A is 1447370101 and holds a License No. 39614 (North Carolina).

The current practice location address for Old Town Family Medicine, P A is 3690 Reynolda Rd, Winston Salem, NC and can be reached out via phone at 336-922-1363.

Location: 3690 Reynolda Rd, Winston Salem, NC, 27106-2230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447370101
Provider Name
Old Town Family Medicine, P A
Credential
Provider Entity Type
Organization
Address
3690 Reynolda Rd, Winston Salem, NC, 27106-2230
Phone Number
336-922-1363
Fax Number
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8941873 05 NC
institution
Provider Business Practice Location Address Details
Address
3690 Reynolda Rd
City
Winston Salem
State
North Carolina
Zip
27106-2230
Phone Number
336-922-1363
Fax Number
person
Provider Business Mailing Address Details
Address
3690 Reynolda Rd
City
Winston Salem
State
North Carolina
Zip
27106-2230
Phone Number
336-922-1363
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
39614 (North Carolina)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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