Organization
TRIAD HEALTH AND WELLNESS FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEENA FAY MCBRIDE NUTRITIONIST (MANAGER)
(336) 856-1570
Entity
Organization
Contact information
Practice address
5925 W FRIENDLY AVE, SUITE 205, GREENSBORO, NC 27410-3207
(336) 856-1570
(336) 510-1496
Mailing address
5925 WEST FRIENDLY AVENUE, SUITE 205, GREENSBORO, NC 27410-3207
(336) 856-1570
(336) 510-1496
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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