Organization
TRIAD ADULT AND PEDIATRIC MEDICINE, INC.
Active
Other names
TAPM Family Medicine at Brentwood
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE ANITA LEWIS (CEO)
(336) 355-9715
Entity
Organization
Contact information
Practice address
2039 BRENTWOOD ST, HIGH POINT, NC 27263-1805
(336) 355-9722
(336) 763-2896
Mailing address
1002 S EUGENE ST, GREENSBORO, NC 27406-1308
(336) 355-9715
(336) 763-2896
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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