Triad Adult and Pediatric Medicine, Inc.

NPI #1831197938 in Greensboro, North Carolina

Provider Information

NPI Number
1831197938
Entity Type
Organization
Organization Name
Triad Adult and Pediatric Medicine, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jul 12, 2005
Last Updated
Aug 29, 2011

Practice Location

Address
433 W MEADOWVIEW ROAD
ZIP Code
27406-4316
Phone
(336) 370-9091

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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