Healthcare Provider Details

I. General information

NPI: 1912934365
Provider Name (Legal Business Name): REGIONAL PHYSICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 05/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 HICKSWOOD RD SUITE 104
HIGH POINT NC
27265
US

IV. Provider business mailing address

624 QUAKER LN STE. 207C
HIGH POINT NC
27262-3832
US

V. Phone/Fax

Practice location:
  • Phone: 336-884-6000
  • Fax: 336-884-7222
Mailing address:
  • Phone: 336-883-2500
  • Fax: 336-883-9728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM ROBERT BRYANT
Title or Position: CFO
Credential:
Phone: 336-878-6143