Organization
TRIAD CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON M LEE CPHT, CCWC (CORP ACCT MGR)
(336) 541-6475
Entity
Organization
Contact information
Practice address
306 POMONA DR STE F, GREENSBORO, NC 27407-1643
(336) 541-6475
(336) 541-6485
Mailing address
306 POMONA DR STE F, GREENSBORO, NC 27407-1643
(336) 541-6475
(336) 541-6485
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
251259
NC
207R00000X
Internal Medicine Physician
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
08/07/2013
Last updated
02/11/2020
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