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Organization
REIDSVILLE FAMILY MEDICINE, PA
Active
Organization
REIDSVILLE FAMILY MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH DEHART BAILEY (OFFICE MANAGER)
(336) 634-3960
Entity
Organization
Contact information
Practice address
520 MAPLE AVE, SUITE B, REIDSVILLE, NC 27320-4652
(336) 634-3960
(336) 634-3919
Mailing address
520 MAPLE AVE, SUITE B, REIDSVILLE, NC 27320-4652
(336) 634-3960
(336) 634-3919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890203M
—
NC
Enumeration date
10/07/2005
Last updated
12/17/2010
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