# FAMILY CARE ASSOCIATES OF MONTGOMERY COUNTY PA

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

## Provider details

- **NPI number:** 1710963335
- **Authorized official:** JOHN MONTGOMERY WOODYEAR JR. MD (PRESIDENT)
- **Authorized official phone:** (910) 576-0042

## Contact information

- **Practice address:** 507 N MAIN ST, TROY, NC 27371-2709
- **Practice address phone:** (910) 576-0042
- **Practice address fax:** (910) 576-1442
- **Mailing address:** 507 N MAIN ST, TROY, NC 27371-2709
- **Mailing address phone:** (910) 576-0042
- **Mailing address fax:** (910) 576-1442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | MD\#9500278 | NC | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2005
- **Last updated:** 08/17/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0271R | — | NC |