Healthcare Provider Details

I. General information

NPI: 1356341820
Provider Name (Legal Business Name): JANET LEONE BRITT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2005
Last Update Date: 07/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1038 ALBEMARLE RD
TROY NC
27371-8685
US

IV. Provider business mailing address

1038 ALBERMARLE RD
TROY NC
27371-8684
US

V. Phone/Fax

Practice location:
  • Phone: 910-572-1785
  • Fax: 910-572-2723
Mailing address:
  • Phone: 910-572-1785
  • Fax: 910-572-1410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number101049
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: