| Cardinal Health Services, Pc | |
|
3069 Trenwest Dr Ste 200 Winston Salem NC 27103-3211 | |
| (336) 448-0962 | |
| (336) 992-3930 |
| Full Name | Cardinal Health Services, Pc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 3069 Trenwest Dr, Winston Salem, North Carolina |
| Authorized Official Name and Position | Henry Franklin Tripp (DIRECTOR) |
| Authorized Official Contact | 3369933146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardinal Health Services, Pc Po Box 30575 Winston Salem NC 27130-0575 Ph: (336) 448-0962 | Cardinal Health Services, Pc 3069 Trenwest Dr Ste 200 Winston Salem NC 27103-3211 Ph: (336) 448-0962 |
| NPI Number | 1144575929 |
|---|---|
| Provider Enumeration Date | 07/18/2012 |
| Last Update Date | 12/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144575929 | NPI | - | NPPES |
| 34D2049903 | Other | NC | CLIA # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 32185 (North Carolina) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | 32185 (North Carolina) | Primary |
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