| Oldtown Immediate Care, Pa | |
|
3690 Reynolda Rd Winston Salem NC 27106-2240 | |
| (336) 922-1363 | |
| (336) 922-0723 |
| Full Name | Oldtown Immediate Care, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 3690 Reynolda Rd, Winston Salem, North Carolina |
| Authorized Official Name and Position | Henry Franklin Tripp (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3369933146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oldtown Immediate Care, Pa Po Box 30575 Winston Salem NC 27130-0575 Ph: (336) 922-1363 | Oldtown Immediate Care, Pa 3690 Reynolda Rd Winston Salem NC 27106-2240 Ph: (336) 922-1363 |
| NPI Number | 1194060368 |
|---|---|
| Provider Enumeration Date | 11/29/2012 |
| Last Update Date | 12/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194060368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 40655 (North Carolina) | Primary |
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