Organization · Type 2 NPI
Old Town Family Medicine, P A
Clinic/Center · Winston Salem, NC
NPI number
1447370101
Active
Practice location
3690 Reynolda Rd
Winston Salem, NC 27106-2230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 39614 (NC) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
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About NPI 1447370101
Old Town Family Medicine, P A's National Provider Identifier is 1447370101, issued on Mar 29, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Winston Salem, NC. The record was last updated on Jan 26, 2012.