Holly Springs Family Practice
Family Medicine in Pilot Mountain, NC. Organization (NPI-2).
NPI number1346353869
StatusActive
Last updated in NPPESJun 21, 2018
Details
- NPI
- 1346353869
- Entity type
- Organization (NPI-2)
- Legal business name
- Holly Springs Family Practice
- Organization subpart
- No
- Enumeration date
- Aug 17, 2006
- Last updated
- Jun 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
104 Ararat Long Hill RdPilot Mountain, NC 27041-8113
Phone 336-786-7966 · Fax 336-786-1601
Mailing address
104 Ararat Long Hill RdPilot Mountain, NC 27041-8113
Phone 336-786-7966 · Fax 336-786-1601
Authorized official
Randall S Keith
Medical Doctor
3367867966
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Other Family Medicine Physician providers in Pilot Mountain, NC
- Forsyth Memorial Hospital INCNPI 1043338486
- Forsyth Memorial Hospital INCNPI 1861632788
- Randall Scott Keith, M.D.NPI 1477558542
- Lisa Naczki Miller, MDNPI 1679593065
- Lisa Anne Petri, MDNPI 1033102389
All 6 Family Medicine Physician providers in Pilot Mountain · All 49 providers in Pilot Mountain
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