Ardmore Family Practice P.A.

LBN: Ardmore Family Practice P.A.
Ardmore Family Practice P.A. is an health care organization with primary practice located at 2805 Lyndhurst Ave , Winston Salem NC 27103-4109. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Ardmore Family Practice P.A. can be contacted via phone (336) 659-0076, or through Alford, Debra H. via phone (336) 659-0076.

Contact Information

Primary practice address
2805 Lyndhurst Ave Winston Salem NC 27103-4109
Fax: (336) 659-0272
Website:
Authorized official contact:
Name: Alford, Debra H. Licensed Practical Nurse (LPN)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1750342820
LBN Legal business name Ardmore Family Practice P.A.
DBA Doing business as
Authorized official Alford, Debra H. Licensed Practical Nurse (LPN)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2006
Last updated Aug 20th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750342820 NPPES
New York MEDICAID 7902204

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