MEDICARE: TRINITY MEDICAL CARE, 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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1720391790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINITY MEDICAL CARE, INC

Provider Business Mailing Address
First Line	:	1509 E INNES ST
Second Line	:	SUITE B
City	:	SALISBURY
State	:	NC
Zip	:	28146-6018
Country	:	US
Telephone Number	:	704-738-2245
Fax Number	:	704-738-2246

Provider Business Practice Location Address
First Line	:	1509 E INNES ST
Second Line	:	SUITE B
City	:	SALISBURY
State	:	NC
Zip	:	28146-6018
Country	:	US
Telephone Number	:	704-738-2245
Fax Number	:	704-738-2246

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LLOYD JEFFREY TAYLOR
Credential	:	P.A.
Telephone Number	:	704-738-2245

Provider Enumeration Date	:	07/20/2010
Last Update Date	:	04/17/2014

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