Healthcare Provider Details

I. General information

NPI: 1932732732
Provider Name (Legal Business Name): OURHEALTH PROFESSIONAL PHYSICIAN GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2020
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 E ATKINS ST
DOBSON NC
27017-8707
US

IV. Provider business mailing address

20 WINOOSKI FALLS WAY
WINOOSKI VT
05404-2228
US

V. Phone/Fax

Practice location:
  • Phone: 336-900-2047
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TERRY LAYMAN
Title or Position: OWNER
Credential:
Phone: 866-434-3255