| Triumph, Llc | |
|
355 S Madison Blvd Suite C2 Roxboro NC 27573-5485 | |
| (336) 597-2065 | |
| (336) 597-2116 |
| Full Name | Triumph, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 355 S Madison Blvd, Roxboro, North Carolina |
| Authorized Official Name and Position | Talesha Rollock (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Contact | 9192560824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triumph, Llc 3210 Fairhill Dr Raleigh NC 27612-3215 Ph: (919) 256-0824 | Triumph, Llc 355 S Madison Blvd Suite C2 Roxboro NC 27573-5485 Ph: (336) 597-2065 |
| NPI Number | 1134399652 |
|---|---|
| Provider Enumeration Date | 03/12/2008 |
| Last Update Date | 02/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134399652 | NPI | - | NPPES |
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