# QUICK DOC NC, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Old Town Immediate Care, P.A.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659490597
- **Authorized official:** HENRY FRANKLIN TRIPP JR. M.D. (DIRECTOR)
- **Authorized official phone:** (336) 993-3146

## Contact information

- **Practice address:** 3734 REYNOLDA RD, WINSTON SALEM, NC 27106-2240
- **Practice address phone:** (336) 922-1102
- **Practice address fax:** (336) 922-5012
- **Mailing address:** 3734 REYNOLDA RD, WINSTON SALEM, NC 27106-2240
- **Mailing address phone:** (336) 922-1102
- **Mailing address fax:** (336) 922-5012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QP2300X | Primary Care Clinic/Center | 40655 | NC | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 10/08/2020