Organization
LEXMEDICAL, INC
Active
Organization
LEXMEDICAL, INC
Active
Other names
Davidson Internists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY G. MINA (EXECUTIVE DIRECTOR)
(336) 243-4653
Entity
Organization
Contact information
Practice address
105 HOSPITAL DR, LEXINGTON, NC 27292-6776
(336) 236-4460
(336) 236-4462
Mailing address
PO BOX 1537, LEXINGTON, NC 27293-1537
(336) 243-4656
(336) 243-4664
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0254Q
BCBS GROUP NUMBER
NC
01
—
2329354
AETNA HMO
NC
01
—
5640047
AETNA PPO
NC
05
—
690254Q
—
NC
01
—
CG1312
RAILROAD MEDICARE
NC
Enumeration date
02/10/2006
Last updated
03/13/2008
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