Organization
MID CAROLINA FAMILY MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOUBER VANG MD (PRESIDENT)
(910) 572-1785
Entity
Organization
Contact information
Practice address
1038 ALBEMARLE RD, TROY, NC 27371-8685
(910) 572-1785
(910) 572-1410
Mailing address
1038 ALBEMARLE RD, TROY, NC 27371-8684
(910) 572-1785
(910) 572-1410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200201193
NC
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34-8951 A/C
—
NC
01
—
P00246988
RAILROAD MEDICARE
NC
Enumeration date
07/27/2005
Last updated
11/17/2022
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