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Organization

PAI PARTICIPANT 29, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIN LAIRD (SR DIRECTOR/AUTHORIZED OFFICIAL)
(410) 458-8713
Entity
Organization

Contact information

Practice address
877 HILL EVERHART RD, LEXINGTON, NC 27295-9140
(336) 248-6644
(336) 224-0537
Mailing address
PO BOX 639676, CINCINNATI, OH 45263-9676
(859) 291-4800
(859) 655-8588

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
05/03/2021
Last updated
05/03/2021
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