Organization
CARDINAL HEALTH SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY FRANKLIN 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) 448-0962
(336) 992-3930
Mailing address
PO BOX 30575, WINSTON SALEM, NC 27130-0575
(336) 448-0962
(336) 992-3930
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
32185
NC
261QP2300X
Primary Care Clinic/Center
32185
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34D2049903
CLIA #
NC
Enumeration date
07/18/2012
Last updated
12/12/2012
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