Organization
DEACON MED PA
Active
Other names
Optimus Medical Center at Randleman
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME I DAVIS MD (MEDICAL DIRECTOR)
(336) 545-1515
Entity
Organization
Contact information
Practice address
702 S MAIN ST, RANDLEMAN, NC 27317-2102
(336) 545-1515
(336) 545-4505
Mailing address
702 S MAIN ST, RANDLEMAN, NC 27317-2102
(336) 545-1515
(336) 545-4505
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
NC
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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