institution
Triad Adult And Pediatric Medicine, Inc.
Federally Qualified Health Center (FQHC) in Greensboro, North Carolina
NPI 1598762940

Triad Adult And Pediatric Medicine, Inc. is a Federally Qualified Health Center (FQHC) based in Greensboro, NC and is specialized in Federally Qualified Health Center (FQHC). Triad Adult And Pediatric Medicine, Inc. practices in Greensboro, NC. The NPI Number for Triad Adult And Pediatric Medicine, Inc. is 1598762940 and holds a License No. (North Carolina).

The current practice location address for Triad Adult And Pediatric Medicine, Inc. is 1046 E Wendover Ave, Greensboro, NC and can be reached out via phone at 336-272-1050 and via fax at 336-272-0155.

Location: 1046 E Wendover Ave, Greensboro, NC, 27405-6712
institution
Provider Profile Details
NPI Number
1598762940
Provider Name
Triad Adult And Pediatric Medicine, Inc.
Credential
Provider Entity Type
Organization
Address
1046 E Wendover Ave, Greensboro, NC, 27405-6712
Phone Number
336-272-1050
Fax Number
336-272-0155
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2348638A 01 NC MEDICARE
890244U 05 NC
0244U 01 NC BCBS OF NC
34D0926152 01 NC CLIA
institution
Provider Business Practice Location Address Details
Address
1046 E Wendover Ave
City
State
Zip
27405-6712
Phone Number
336-272-1050
Fax Number
336-272-0155
person
Provider Business Mailing Address Details
Address
1046 E Wendover Ave
City
State
Zip
27405-6712
Phone Number
336-272-1050
Fax Number
336-272-0155
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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