| Psimed Pa | |
|
2511-d Neudorf Rd Clemmons NC 27012 | |
| (336) 778-0506 | |
| (336) 778-0570 |
| Full Name | Psimed Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2511-d Neudorf Rd, Clemmons, North Carolina |
| Authorized Official Name and Position | Jason Malcolm Crandell (PRESIDENT) |
| Authorized Official Contact | 3369184882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psimed Pa Po Box 1741 Clemmons NC 27012 Ph: (336) 778-0506 | Psimed Pa 2511-d Neudorf Rd Clemmons NC 27012 Ph: (336) 778-0506 |
| NPI Number | 1366613663 |
|---|---|
| Provider Enumeration Date | 03/14/2008 |
| Last Update Date | 03/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366613663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 23500 (North Carolina) | Primary |
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