First Commmunity of Triad
NPI #1053590661 in Kernersville, North Carolina
Provider Information
- NPI Number
- 1053590661
- Entity Type
- Organization
- Organization Name
- First Commmunity of Triad
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Oct 31, 2007
- Last Updated
- Oct 31, 2007
Practice Location
- Address
- 36 WENDY CT
- City
- Kernersville
- State
- North Carolina
- ZIP Code
- 27284-9095
- Phone
- (336) 497-4184
Authorized Official
- Name
- TERRI PETERS
- Title
- ADMINISTRATOR
- Phone
- (336) 497-4184
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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