Organization · Type 2 NPI
Indian Trail Medical Clinic, Inc.
Specialist · Indian Trail, NC
NPI number
1790823672
Active
Practice location
301 S. Indian Trail Road
Indian Trail, NC 28079
Fax (704) 821-7057
Mailing address
PO Box 430
Indian Trail, NC 28079-0430
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 22284 (NC) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Indian Trail
About NPI 1790823672
Indian Trail Medical Clinic, Inc.'s National Provider Identifier is 1790823672, issued on Feb 2, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Indian Trail, NC. The record was last updated on Jan 28, 2010.