Organization
PHYSICIANS HOME VISITS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY F TRIPP JR. M.D. (DIRECTOR)
(336) 993-3146
Entity
Organization
Contact information
Practice address
3069 TRENWEST DR, STE 200, WINSTON SALEM, NC 27103-3211
(336) 993-3146
(336) 992-3930
Mailing address
3069 TRENWEST DR, STE 200, WINSTON SALEM, NC 27103-3211
(336) 993-3146
(336) 992-3930
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023C9
BCBS
NC
01
—
34D1105236
CLIA
NC
05
—
5950484
—
NC
Enumeration date
01/09/2008
Last updated
11/16/2014
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