Cedar Creek Family Medicine Pllc

LBN: Cedar Creek Family Medicine Pllc
Cedar Creek Family Medicine Pllc is an health care organization with primary practice located at 5350 S Main St , Winston Salem NC 27107-9174. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Cedar Creek Family Medicine Pllc can be contacted via phone (336) 784-0505, or through Nifong, Kimberly R via phone (336) 784-0505.

Contact Information

Primary practice address
5350 S Main St Winston Salem NC 27107-9174
Phone: (336) 784-0505
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nifong, Kimberly R Doctor of Medicine (MD)
Phone: (336) 784-0505

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 88463 North Carolina

Profile Details

NPI number 1952579807
LBN Legal business name Cedar Creek Family Medicine Pllc
DBA Doing business as
Authorized official Nifong, Kimberly R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2008
Last updated Feb 13th, 2008 - about 16 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 1952579807 NPPES
North Carolina MEDICAID 89014U9
North Carolina Other 014U9

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