Organization
PATRIOTMED OF NORTH CAROLINA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT SCOTT THORNOCK (CHIEF STRATEGY OFFICER)
(480) 369-1270
Entity
Organization
Contact information
Practice address
2350 BENTRIDGE LN STE 400, FAYETTEVILLE, NC 28304-0590
(480) 369-1270
Mailing address
22601 N 19TH AVE, PHOENIX, AZ 85027-1326
(480) 369-1270
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
247100000X
Radiologic Technologist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/22/2025
Last updated
04/21/2026
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