| NPI | 1659490597 |
|---|---|
| Former Legal Business Name | OLD TOWN IMMEDIATE CARE, P.A. |
| Entity Type | Organization |
| Authorized Contact | HENRY FRANKLIN TRIPP Director 336-993-3146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NC 40655) |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-10-08 |