Organization
TRIAD ADULT AND PEDIATRIC MEDICINE, INC.
Active
Organization
TRIAD ADULT AND PEDIATRIC MEDICINE, INC.
Active
Other names
Interactive Resource Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN K. ELLERBY (CEO)
(336) 355-9696
Entity
Organization
Contact information
Practice address
1002 S EUGENE ST, GREENSBORO, NC 27406-1308
(336) 355-9701
(336) 763-2896
Mailing address
407 E WASHINGTON ST, GREENSBORO, NC 27401-2930
(336) 332-0824
(336) 763-2896
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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