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NPI Code Detail

MEDICARE: AEGIS FAMILY HEALTH CENTERS INC

MEDICARE: AEGIS FAMILY HEALTH CENTERS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianNC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437142775
Entity Type Code : Organization
Provider Name (Legal Business Name) : AEGIS FAMILY HEALTH CENTERS INC
Provider Business Mailing Address
First Line : PO BOX 68
Second Line :
City : YADKINVILLE
State : NC
Zip : 27055-0068
Country : US
Telephone Number : 336-679-6700
Fax Number : 336-679-6733
Provider Business Practice Location Address
First Line : 624 W MAIN ST
Second Line :
City : YADKINVILLE
State : NC
Zip : 27055-7804
Country : US
Telephone Number : 336-679-6700
Fax Number : 336-679-6733
Authorized Official
Title or Position : PRESIDENT CEO
Name : MR. LEWIS S THORP III
Credential :
Telephone Number : 336-659-5116
Provider Enumeration Date : 08/23/2005
Last Update Date : 08/22/2020

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1427010834 — MR. JAMES STUART MCGRATH MD
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1114975430 — MS. WANDA J BURGER LPC
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Directions to “AEGIS FAMILY HEALTH CENTERS INC ” Practice Location

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