Organization
TRIAD ADULT AND PEDIATRIC MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEISHA HARRIS (CREDENTIALING MANAGER)
(336) 355-9701
Entity
Organization
Contact information
Practice address
606 N ELM ST, HIGH POINT, NC 27262-4332
(336) 884-0224
(336) 884-3471
Mailing address
1002 S EUGENE ST, GREENSBORO, NC 27406-1308
(336) 355-9701
(336) 763-2896
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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