| Triseasons Healthcare Pllc | |
|
101 Alison Ln Archdale NC 27263-3457 | |
| (336) 883-8633 | |
| (202) 379-1739 |
| Full Name | Triseasons Healthcare Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 101 Alison Ln, Archdale, North Carolina |
| Authorized Official Name and Position | John Clayston Skarda (OWNER) |
| Authorized Official Contact | 8285281228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triseasons Healthcare Pllc 101 Alison Ln Archdale NC 27263-3457 Ph: (336) 883-8633 | Triseasons Healthcare Pllc 101 Alison Ln Archdale NC 27263-3457 Ph: (336) 883-8633 |
| NPI Number | 1649513722 |
|---|---|
| Provider Enumeration Date | 03/27/2013 |
| Last Update Date | 03/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649513722 | NPI | - | NPPES |
| 8976744 | Medicaid | NC | |
| 1659314748 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 188728 (North Carolina) | Primary |
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