NPI: 1265592968
Provider Name: TRIAD ADULT AND PEDIATRIC MEDICINE, INC.
Former Legal Business Name: GUILFORD CHILD HEALTH, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
1046 E WENDOVER AVE
GREENSBORO, NC
ZIP 27405
Phone: (336) 272-1050
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TRIAD ADULT AND PEDIATRIC MEDICINE, INC. is a federally qualified health center (fqhc) clinic center in Greensboro, NC. TRIAD ADULT AND PEDIATRIC MEDICINE, INC. NPI is 1265592968. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Guilford Child Health, Inc..
The provider's business location address is:
1046 E WENDOVER AVE
GREENSBORO, NC
ZIP 27405-712
Phone: (336) 272-1050
Fax: (336) 272-0155
The provider's authorized official is Brian K Ellerby .
The authorized official title is Chief Executive Officer and has the following contact phone number (336) 272-1050.
The enumeration date for this NPI number is 12/11/2006 and was last updated on 8/18/2011.