Organization
GRAHAM URGENT CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY JUSTAIN SYKES PA-C (PRESIDENT OWNER)
(336) 228-9671
Entity
Organization
Contact information
Practice address
217 EAST ELM ST, GRAHAM, NC 27253
(336) 228-9671
(336) 228-9674
Mailing address
217 EAST ELM ST, GRAHAM, NC 27253
(336) 228-9671
(336) 228-9674
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
39064
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017RH
BLUE CROSS BLUE SHIELD OF
NC
05
—
5902891
—
NC
Enumeration date
06/21/2006
Last updated
07/10/2015
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