Healthcare Provider Details

I. General information

NPI: 1184935553
Provider Name (Legal Business Name): TROYER MEDICAL INC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2010
Last Update Date: 08/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 S CENTRAL AVE
LANDIS NC
28088-1402
US

IV. Provider business mailing address

107 S CENTRAL AVE
LANDIS NC
28088-1402
US

V. Phone/Fax

Practice location:
  • Phone: 704-855-2101
  • Fax: 704-855-2105
Mailing address:
  • Phone: 704-855-2101
  • Fax: 704-855-2105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC C TROYER
Title or Position: OWNER
Credential: MD
Phone: 704-855-2101