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NPI Code Detail

MEDICARE: QUICK DOC NC, PA

MEDICARE: QUICK DOC NC, PA
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
1208D00000XGeneral Practice Physician
2261QP2300XPrimary Care Clinic/Center40655NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
140655OTHERNCMEDICAL BOARD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
301791OTHERNCBLS

General Provider Information

NPI Number : 1659490597
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUICK DOC NC, PA
Provider Business Mailing Address
First Line : 3734 REYNOLDA RD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27106-2240
Country : US
Telephone Number : 336-922-1102
Fax Number : 336-922-5012
Provider Business Practice Location Address
First Line : 3734 REYNOLDA RD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27106-2240
Country : US
Telephone Number : 336-922-1102
Fax Number : 336-922-5012
Authorized Official
Title or Position : DIRECTOR
Name : HENRY FRANKLIN TRIPP JR.
Credential : M.D.
Telephone Number : 336-993-3146
Provider Enumeration Date : 03/29/2007
Last Update Date : 10/08/2020

Similar Medicare Providers

1104829142 — HENRY FRANKLIN TRIPP JR. M.D.
Practice Location Address:
3734 REYNOLDA RD
WINSTON SALEM, NC
27106-2240
Practice Phone: 336-664-0333
Practice Fax: 336-664-0447
1578535696 — MR. DAVID FRANCIS MINOR P.A.-C
Practice Location Address:
3734 REYNOLDA RD
WINSTON SALEM, NC
27106-2240
Practice Phone: 336-922-1102
Practice Fax: 336-922-5012
1285772798 — MR. DAVID RICHARD COURTEMANCHE P.A.-C.
Practice Location Address:
3734 REYNOLDA RD
WINSTON SALEM, NC
27106-2240
Practice Phone: 336-922-1102
Practice Fax: 336-922-5012
1952420796 — JEAN F PRUETT LPC
Practice Location Address:
3734 REYNOLDA RD
WINSTON SALEM, NC
27106-2240
Practice Phone: 336-922-1102
Practice Fax:
1194060368 — OLDTOWN IMMEDIATE CARE, PA
Practice Location Address:
3690 REYNOLDA RD
WINSTON SALEM, NC
27106-2240
Practice Phone: 336-922-1363
Practice Fax: 336-922-0723
1871156620 — FAST ACCESS NC LLC
Practice Location Address:
3734 REYNOLDA RD
WINSTON SALEM, NC
27106-2240
Practice Phone: 423-805-0744
Practice Fax:

Directions to “QUICK DOC NC, PA ” Practice Location

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