Holly Springs Family Practice

LBN: Holly Springs Family Practice
Holly Springs Family Practice is an health care organization with primary practice located at 104 Ararat Long Hill Rd , Pilot Mountain NC 27041-8113. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Holly Springs Family Practice can be contacted via phone (336) 786-7966, or through Keith, Randall S via phone (336) 786-7966.

Contact Information

Primary practice address
104 Ararat Long Hill Rd Pilot Mountain NC 27041-8113
Phone: (336) 786-7966
Fax: (336) 786-1601
Website:
Map and Directions
Authorized official contact:
Name: Keith, Randall S Doctor of Medicine (MD)
Phone: (336) 786-7966

Health care specialties

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

Profile Details

NPI number 1346353869
LBN Legal business name Holly Springs Family Practice
DBA Doing business as
Authorized official Keith, Randall S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2006
Last updated Jun 21st, 2018 - about 6 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 1346353869 NPPES
North Carolina MEDICAID 8948063

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