Organization
LEXMEDICAL, INC.
Active
Other names
North Davidson Center for Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY G. MINA (EXECUTIVE DIRECTOR)
(336) 243-4653
Entity
Organization
Contact information
Practice address
799 HICKORY TREE RD, WINSTON-SALEM, NC 27127-9139
(336) 764-3304
(336) 764-1018
Mailing address
PO BOX 1537, LEXINGTON, NC 27293-1537
(336) 243-4656
(336) 243-4664
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0281P
BCBS GROUP NUMBER
NC
01
—
2706996
AETNA HMO
NC
01
—
5523203
AETNA PPO
NC
05
—
890281P
—
NC
01
—
CG1312
RAILROAD MEDICARE
NC
Enumeration date
02/10/2006
Last updated
03/13/2008
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