Triad Adult and Pediatric Medicine, Inc.
NPI #1629077490 in High Point, North Carolina
Provider Information
- NPI Number
- 1629077490
- Entity Type
- Organization
- Organization Name
- Triad Adult and Pediatric Medicine, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jul 14, 2005
- Last Updated
- Aug 29, 2011
Practice Location
- Address
- 400 E COMMERCE AVE
- City
- High Point
- State
- North Carolina
- ZIP Code
- 27260-5221
- Phone
- (336) 884-0224
Authorized Official
- Name
- MR. BRIAN K. ELLERBY, MSPH CMPE
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (336) 272-1050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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