Organization
NORTH CAROLINA INPATIENT MEDICINE ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALBOT GREEN MCCORMICK, III MD (OWNER - PRESIDENT)
(678) 441-8500
Entity
Organization
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-6300
Mailing address
5901 PEACHTREE DUNWOODY RD, SUITE C-350, ATLANTA, GA 30328-5382
(678) 441-8500
(678) 441-8656
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014RM
BCBS
NC
Enumeration date
12/21/2016
Last updated
12/21/2016
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