Triad Internal Medicine Associates Pa

LBN: Triad Internal Medicine Associates Pa
Triad Internal Medicine Associates Pa is an health care organization with primary practice located at 1593 Yanceyville St Suite 200, Greensboro NC 27405-6948. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Triad Internal Medicine Associates Pa can be contacted via phone (336) 230-0402, or through Sellars, Misti Gilliam via phone (386) 230-0402.

Contact Information

Primary practice address
1593 Yanceyville St Suite 200 Greensboro NC 27405-6948
Fax: (336) 230-1761
Website:
Authorized official contact:
Name: Sellars, Misti Gilliam

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1356446363
LBN Legal business name Triad Internal Medicine Associates Pa
DBA Doing business as
Authorized official Sellars, Misti Gilliam
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Jun 24th, 2010 - about 14 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 1356446363 NPPES
North Carolina Other CI5242 RAILROAD MEDICARE
North Carolina MEDICAID 890296U RAILROAD MEDICARE

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