Organization
TRIAD INTERNAL MEDICINE ASSOCIATES PA
Active
Organization
TRIAD INTERNAL MEDICINE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISTI GILLIAM SELLARS (PRACTICE MANAGER)
(386) 230-0402
Entity
Organization
Contact information
Practice address
1593 YANCEYVILLE ST, SUITE 200, GREENSBORO, NC 27405-6948
(336) 230-0402
(336) 230-1761
Mailing address
1593 YANCEYVILLE ST, SUITE 200, GREENSBORO, NC 27405-6948
(336) 230-0402
(336) 230-1761
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890296U
—
NC
01
—
CI5242
RAILROAD MEDICARE
NC
Enumeration date
09/14/2006
Last updated
06/24/2010
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