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Organization

GENERAL MEDICAL CLINIC,PA

Active
Parent organization
GENERAL MEDICAL CLINIC,PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
GENERAL MEDICAL CLINIC,PA
Authorized official
MRS. CAMIE M WAYNICK (CONTROLLER)
(336) 633-0413
Entity
Organization

Contact information

Practice address
3505 N ROXBORO ST STE C, DURHAM, NC 27704-2767
(919) 383-0003
(919) 382-0042
Mailing address
PO BOX 5568, ASHEBORO, NC 27204-5568
(336) 633-0413
(336) 633-0411

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
9700286
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5907888
NC
Enumeration date
03/26/2009
Last updated
09/01/2009
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