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Organization
ELKIN PEDIATRIC & ADULT MEDICINE, PA
Active
Organization
ELKIN PEDIATRIC & ADULT MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA G HUTCHENS (OFFICE MANAGER)
(336) 835-7700
Entity
Organization
Contact information
Practice address
124 SAMARITANS RIDGE RD, ELKIN, NC 28621-2452
(336) 835-7700
(336) 527-1071
Mailing address
124 SAMARITANS RIDGE RD, ELKIN, NC 28621-2452
(336) 835-7700
(336) 527-1071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02170
BDBS NC
NC
05
—
8902170
—
NC
Enumeration date
01/24/2006
Last updated
04/03/2008
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