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NPI Code Detail

MEDICARE: HENRY FRANKLIN TRIPP JR. M.D.

MEDICARE: HENRY FRANKLIN TRIPP JR. M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QG0300XGeriatric Medicine (Family Medicine) Physician32185NC
2207R00000XInternal Medicine Physician32185NC
3208600000XSurgery Physician32185NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21231ROTHERNCBCBS

General Provider Information

NPI Number : 1104829142
Entity Type Code : Individual
Provider Name (Legal Business Name) : HENRY FRANKLIN TRIPP JR. M.D.
Provider Business Mailing Address
First Line : 3734 REYNOLDA RD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27106-2240
Country : US
Telephone Number : 336-664-0333
Fax Number : 336-992-3930
Provider Business Practice Location Address
First Line : 3734 REYNOLDA RD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27106-2240
Country : US
Telephone Number : 336-664-0333
Fax Number : 336-664-0447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 10/08/2020

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