Graham Urgent Care PA

Organization Active NPI Urgent Care Clinic/Center · Graham, NC

NPI 1457397192 · NPPES record last updated Jul 10, 2015

Key facts

NPI
1457397192
Entity type
Organization (NPI type 2)
Primary specialty
Urgent Care Clinic/Center 261QU0200X
License
39064 (NC)
Legal business name
GRAHAM URGENT CARE PA
Practice address
217 East Elm St
Graham, NC 27253
Phone
(336) 228-9671
Fax
(336) 228-9674
NPI assigned
Jun 21, 2006
Organization subpart
No

Authorized official

Name
Larry Justain Sykes, PA-C
Title
President Owner
Phone
(336) 228-9671

National Provider Directory

Locations

217 E Elm St
Graham, NC 27253
Phone (336) 228-9671

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 39064 NC Yes

Addresses

Primary practice location

217 East Elm St
Graham, NC 27253

Mailing address

217 East Elm St
Graham, NC 27253
Phone (336) 228-9671

Other identifiers

IdentifierTypeStateIssuer
017RHOtherNCBLUE CROSS BLUE SHIELD OF
5902891MedicaidNC

Other providers in Graham, NC

All providers in Graham, NC · Urgent Care Clinic/Center in North Carolina

Sources for this page

Verify at the official NPI Registry.