Dallas Family Medicine, PA

Organization Active NPI Family Medicine Physician · Dallas, NC

NPI 1487726352 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1487726352
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
DALLAS FAMILY MEDICINE, PA
Practice address
824 Lower Dallas Hwy
Dallas, NC 28034-9368
Phone
(704) 874-0200
Fax
(704) 874-0201
NPI assigned
Nov 15, 2006
Organization subpart
No

Authorized official

Name
Judith Anne Ware
Title
Office Manager
Phone
(704) 874-0205

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

824 Lower Dallas Hwy
Dallas, NC 28034
Phone (704) 208-4134

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

824 Lower Dallas Hwy
Dallas, NC 28034-9368

Mailing address

824 Lower Dallas Hwy
Dallas, NC 28034-9368
Phone (704) 874-0200

Other providers in Dallas, NC

All providers in Dallas, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.