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Organization
TRINITY FAMILY MEDICINE, P.A.
Active
Organization
TRINITY FAMILY MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY STEPHEN CRAWFORD M.D. (PRESIDENT)
(910) 285-7592
Entity
Organization
Contact information
Practice address
112 MEDICAL VILLAGE DR, UNIT D, WALLACE, NC 28466-1668
(910) 285-7592
(910) 285-4610
Mailing address
112 MEDICAL VILLAGE DR, UNIT D, WALLACE, NC 28466-1668
(910) 285-7592
(910) 285-4610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7902457
—
NC
Enumeration date
09/19/2005
Last updated
02/24/2009
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