Old Town Family Medicine, P A
Old Town Family Medicine, P A provides Clinic/Center services in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.
- Licensed in
- NC
- In the registry since
- 2007
Practice location Address checks out
3690 Reynolda RdWinston Salem, NC 27106-2230 Not confirmed with CMS for 14 years — call before visiting
Phone: (336) 922-1363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence 39614 (NC) |
|---|
Record details
| NPI number | 1447370101 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Herber — President · (336) 922-1363 |
| NPI enumerated | March 29, 2007 |
| Last updated in NPPES | January 26, 2012 |
| Mailing address | 3690 Reynolda Rd, Winston Salem, NC 27106-2230 |
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