Organization
ARCHDALE FAMILY PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK CRAIG BECK MD (OWNER)
(336) 861-4110
Entity
Organization
Contact information
Practice address
11635 N MAIN ST STE E, ARCHDALE, NC 27263-3271
(336) 861-4110
(336) 861-4295
Mailing address
11635 N MAIN ST STE E, ARCHDALE, NC 27263-3271
(336) 861-4110
(336) 861-4295
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30119
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8914271
—
NC
Enumeration date
01/10/2011
Last updated
03/11/2011
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