Organization
PRIMEDOC OF STANLY COUNTY PA
Active
Organization
PRIMEDOC OF STANLY COUNTY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT REYNOLDS MD (PRESIDENT)
(828) 210-3260
Entity
Organization
Contact information
Practice address
301 YADKIN ST, ALBEMARLE, NC 28001-3441
(843) 237-3378
(843) 237-5073
Mailing address
PO BOX 751395, CHARLOTTE, NC 28275-1395
(843) 237-3378
(843) 237-5073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012WK
BLUE CROSS BLUE SHIELD
NC
05
—
89012WK
—
NC
01
—
CJ3931
RAILROAD MEDICARE
NC
Enumeration date
04/21/2006
Last updated
03/17/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up