Organization
AEGIS FAMILY HEALTH CENTERS INC
Active
Other names
Aegis Family Health Centers Yadkinville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEWIS S THORP III (PRESIDENT CEO)
(336) 659-5116
Entity
Organization
Contact information
Practice address
624 W MAIN ST, YADKINVILLE, NC 27055-7804
(336) 679-6700
(336) 679-6733
Mailing address
PO BOX 68, YADKINVILLE, NC 27055-0068
(336) 679-6700
(336) 679-6733
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890216V
—
NC
Enumeration date
08/23/2005
Last updated
08/22/2020
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