Healthcare Provider Details

I. General information

NPI: 1912202441
Provider Name (Legal Business Name): REGIONAL PHYSICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2011
Last Update Date: 05/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1219 LEXINGTON AVE SUITE B
THOMASVILLE NC
27360-2870
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 336-475-0113
  • Fax: 336-475-0801
Mailing address:
  • Phone: 336-883-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM ROBERT BRYANT
Title or Position: CFO
Credential:
Phone: 336-883-2500