Organization Name: | HEALTH WORKS MED GROUP OF NORTH CAROLINA P C |
NPI Number: | 1003056532 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALBERT CLARKE DARLINGTON (OWNER/DIRECTOR) |
Mailing Address: | 5660 University Pkwy Winston Salem |
State: | NC US |
Postal Code: | 271051312 |
Phone Number: | 3362019171 |
Fax Number: | 3362019586 |
NPI Enumeration Date: | 02/24/2009 |
NPI Last Update Date: | 07/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |