Organization · NPI-2

Ardmore Travel Health

Clinic/Center · Winston Salem, NC

NPI number1902194426
StatusActive
Last updated in NPPESJul 18, 2011

Details

NPI
1902194426
Entity type
Organization (NPI-2)
Legal business name
Ardmore Travel Health
Organization subpart
No
Enumeration date
Jul 18, 2011
Last updated
Jul 18, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Other names

  • Passport Health Triad (Doing Business As)

Practice location

3722 Vest Mill Rd
Winston Salem, NC 27103-2912

Phone 336-768-0717 · Fax 336-768-0718

Mailing address

3722 Vest Mill Rd
Winston Salem, NC 27103-2912

Phone 336-768-0717 · Fax 336-768-0718

Authorized official

Amy Caroline Sapp
Medical Director
3367680717

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