| NPI | 1285205708 |
|---|---|
| Doing Business As | TRIAD PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | ASHLEY RENEE LONG Practice Implementation Manager 984-333-2741 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2022-11-01 |