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TRIAD WOMEN'S HEALTH AND WELLNESS CENTER NPI 1780113191


NPI Information

NPI: 1780113191
Provider Name: TRIAD WOMEN'S HEALTH AND WELLNESS CENTER

Former Legal Business Name: TRIAD WOMEN'S CENTER

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
3750 ADMIRAL DRIVE
SUITE 104
HIGH POINT, NC
ZIP 27265
Phone: (336) 841-8416
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TRIAD WOMEN'S HEALTH AND WELLNESS CENTER is an obstetrics gynecology in High Point, NC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. TRIAD WOMEN'S HEALTH AND WELLNESS CENTER NPI is 1780113191. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Triad Women's Center.

The provider's business location address is:

3750 ADMIRAL DRIVE
SUITE 104
HIGH POINT, NC
ZIP 27265-556
Phone: (336) 841-8416
Fax: (336) 841-6906

The provider's authorized official is Eleanor Elaine Greene .
The authorized official title is Doctor/owner and has the following contact phone number (336) 841-6574.

The enumeration date for this NPI number is 6/8/2017 and was last updated on 7/21/2022.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
120-0805834MEDICAIDNORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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