# GENERAL MEDICAL CLINIC,PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GENERAL MEDICAL CLINIC,PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952543688
- **Legal business name:** GENERAL MEDICAL CLINIC,PA
- **Authorized official:** MRS. CAMIE M WAYNICK (CONTROLLER)
- **Authorized official phone:** (336) 633-0413

## Contact information

- **Practice address:** 3505 N ROXBORO ST STE C, DURHAM, NC 27704-2767
- **Practice address phone:** (919) 383-0003
- **Practice address fax:** (919) 382-0042
- **Mailing address:** PO BOX 5568, ASHEBORO, NC 27204-5568
- **Mailing address phone:** (336) 633-0413
- **Mailing address fax:** (336) 633-0411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 9700286 | NC | Yes |

## Other

- **Enumeration date:** 03/26/2009
- **Last updated:** 09/01/2009