# ARCHDALE FAMILY PRACTICE PA

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

## Provider details

- **NPI number:** 1396049060
- **Authorized official:** MR. MARK CRAIG BECK MD (OWNER)
- **Authorized official phone:** (336) 861-4110

## Contact information

- **Practice address:** 11635 N MAIN ST STE E, ARCHDALE, NC 27263-3271
- **Practice address phone:** (336) 861-4110
- **Practice address fax:** (336) 861-4295
- **Mailing address:** 11635 N MAIN ST STE E, ARCHDALE, NC 27263-3271
- **Mailing address phone:** (336) 861-4110
- **Mailing address fax:** (336) 861-4295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 30119 | NC | Yes |

## Other

- **Enumeration date:** 01/10/2011
- **Last updated:** 03/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8914271 | — | NC |