QUICK DOC NC PA NPI 1659490597

NPI Information

QUICK DOC NC, PA is a primary care clinic center in Winston Salem, NC. QUICK DOC NC, PA NPI is 1659490597. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Old Town Immediate Care, P.a..

The provider's business location address is:

3734 REYNOLDA RD
WINSTON SALEM, NC
ZIP 27106-240
Phone: (336) 922-1102
Fax: (336) 922-5012

The provider's authorized official is Henry Franklin Tripp .
The authorized official title is Director and has the following contact phone number (336) 993-3146.

The CLIA number assigned to this NPI record is 34D2211346 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 10/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.