Organization
PERSON FAMILY MEDICAL CENTER INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET A WALKER (CFO)
(336) 599-2900
Entity
Organization
Contact information
Practice address
702 N MAIN ST, ROXBORO, NC 27573-4755
(336) 599-2900
(336) 599-7892
Mailing address
PO BOX 350, 702 N MAIN ST PERSON FAMILY DENTAL CENTER, ROXBORO, NC 27573
(336) 599-2900
(336) 599-7892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7644NC
NC
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
7644NC
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344504D
—
NC
Enumeration date
11/20/2006
Last updated
05/14/2020
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