# ROXBORO MEDACCESS PRIMARY CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154559581
- **Authorized official:** DAN PHILLIPS M.D. (MEMBER MANAGER)
- **Authorized official phone:** (336) 330-0400

## Contact information

- **Practice address:** 3762 DURHAM ROAD, ROXBORO, NC 27573
- **Practice address phone:** (336) 330-0400
- **Practice address fax:** (336) 330-0031
- **Mailing address:** 3762 DURHAM ROAD, ROXBORO, NC 27573
- **Mailing address phone:** (336) 330-0400
- **Mailing address fax:** (336) 330-0031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 158222 | NC | Yes |

## Other

- **Enumeration date:** 06/24/2009
- **Last updated:** 06/24/2009
