Legacy Medical Group, Pllc
LBN: Legacy Medical Group, Pllc
Legacy Medical Group, Pllc is an health care organization with primary practice located at 302 Pomona Dr Ste L , Greensboro NC 27407-1642. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Agencies / Home Infusion, Ambulatory Health Care Facilities / Infusion Therapy, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Legacy Medical Group, Pllc can be contacted via phone (336) 763-1980, or through Shackleford, Tiara via phone (336) 944-9950.
Contact Information
Primary practice address
302 Pomona Dr Ste L
Greensboro NC 27407-1642
Phone: (336) 763-1980
Fax:
Website:
Authorized official contact:
Name: Shackleford, Tiara Family Nurse Practitioner (FNP)
Phone: (336) 944-9950
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Agencies / Home Infusion | 251F00000X | ||
| Ambulatory Health Care Facilities / Infusion Therapy | 261QI0500X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1558010843 |
|---|---|
| LBN Legal business name | Legacy Medical Group, Pllc |
| DBA Doing business as | |
| Authorized official | Shackleford, Tiara Family Nurse Practitioner (FNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 22nd, 2022 |
| Last updated | Mar 22nd, 2022 - about 2 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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