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Organization
LEXMEDICAL, INC.
Active
Organization
LEXMEDICAL, INC.
Active
Other names
North Davidson Center for Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY G. MINA (EXECUTIVE DIRECTOR)
(336) 243-4653
Entity
Organization
Contact information
Practice address
799 HICKORY TREE RD, WINSTON-SALEM, NC 27127-9139
(336) 764-3304
(336) 764-1018
Mailing address
PO BOX 1537, LEXINGTON, NC 27293-1537
(336) 243-4656
(336) 243-4664
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
—
0281P
BCBS GROUP NUMBER
NC
01
—
2706996
AETNA HMO
NC
01
—
5523203
AETNA PPO
NC
05
—
890281P
—
NC
01
—
CG1312
RAILROAD MEDICARE
NC
Enumeration date
02/10/2006
Last updated
03/13/2008
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