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Organization
TRIAD ADULT AND PEDIATRIC MEDICINE, INC.
Active
Organization
TRIAD ADULT AND PEDIATRIC MEDICINE, INC.
Active
Other names
TAPM
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LEWIS (INTERIM CEO)
(336) 355-9715
Entity
Organization
Contact information
Practice address
1002 S EUGENE ST, GREENSBORO, NC 27406-1308
(336) 355-9920
Mailing address
1002 S EUGENE ST, GREENSBORO, NC 27406-1308
(336) 355-9920
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
P009673
NC
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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