Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Indian Trail Medical Clinic, Inc

Organization Specialist · NPI 1790823672

Indian Trail Medical Clinic, Inc provides Specialist services in Indian Trail, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

301 S Indian Trail Rd
Indian Trail, NC 28079 Not confirmed with CMS for 16 years — call before visiting
Phone: (704) 821-7056
Fax: (704) 821-7057
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 22284 (NC)

Record details

NPI number1790823672
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Tsai — Medical Doctor · (704) 821-7056
NPI enumeratedFebruary 2, 2007
Last updated in NPPESJanuary 28, 2010
Mailing addressPo Box 430, Indian Trail, NC 28079-0430

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