Healthcare Provider Details
I. General information
NPI: 1043246762
Provider Name (Legal Business Name): REGIONAL PHYSICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/24/2006
Last Update Date: 08/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
231 PLAZA LN
HIGH POINT NC
27263-2079
US
IV. Provider business mailing address
231 PLAZA LN
HIGH POINT NC
27263-2079
US
V. Phone/Fax
- Phone: 336-434-4007
- Fax: 336-434-4010
- Phone: 336-434-4007
- Fax: 336-434-4010
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
KATHLEEN
C
BABER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 336-883-4296