Organization
FIRST COMMMUNITY OF TRIAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI PETERS (ADMINISTRATOR)
(336) 497-4184
Entity
Organization
Contact information
Practice address
36 WENDY CT, KERNERSVILLE, NC 27284-9095
(336) 497-4184
Mailing address
36 WENDY CT, KERNERSVILLE, NC 27284-9095
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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