Laurellyn Medical Group
Organization Active NPI Internal Medicine Physician · Tryon, NC
NPI 1558543769 · NPPES record last updated Jun 19, 2008
Key facts
- NPI
- 1558543769
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 13197 (NC)
- Legal business name
- LAURELLYN MEDICAL GROUP
- Practice address
- 37 Wilderness Rd
Tryon, NC 28782-5508 - Phone
- (828) 859-6697
- Fax
- (828) 859-6933
- NPI assigned
- Nov 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Amos T Pagter Jr., MD
- Title
- Owner
- Phone
- (828) 859-6697
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 13197 | NC | Yes |
Addresses
Primary practice location
37 Wilderness Rd
Tryon, NC 28782-5508
Mailing address
37 Wilderness Rd
Tryon, NC 28782-5508
Phone (828) 859-6697
Other providers in Tryon, NC
- Julie Dana Kelch
- George Gi-Min Kim
- Patricia Cummings Komorous
- David S Krishingner
- Laura Budd Ellington LCSW, Lisw-CP
- Jeffrey Ian Lewis
- Librick, Inc.
- Librick, Inc.
- Light House Group Home
- Stephanie Regina Lindsay
All providers in Tryon, NC · Internal Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.