# WAYNE HEALTH MEDICAL CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WAYNE HEALTH PHYSICIANS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558630699
- **Legal business name:** WAYNE HEALTH PHYSICIANS
- **Authorized official:** CLYDE LOUIS THOMAS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (919) 587-4081

## Contact information

- **Practice address:** 208 COX BLVD, SUITE 102, GOLDSBORO, NC 27534-9414
- **Practice address phone:** (919) 587-4081
- **Practice address fax:** (919) 587-0775
- **Mailing address:** PO BOX 1717, GOLDSBORO, NC 27533-1717
- **Mailing address phone:** (919) 587-4081
- **Mailing address fax:** (919) 587-0775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2011
- **Last updated:** 12/10/2015