NPI: 1710049986
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:
433 W. MEADOWVIEW ROAD
GREENSBORO, NC
ZIP 27406
Phone: (336) 370-9091
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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 1710049986. 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:
433 W. MEADOWVIEW ROAD
GREENSBORO, NC
ZIP 27406-316
Phone: (336) 370-9091
Fax: (336) 370-4922
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 12/14/2006 and was last updated on 8/19/2011.