Primedoc of Randolph County PA
Organization Active NPI Internal Medicine Physician · Asheboro, NC
NPI 1689630469 · NPPES record last updated Jul 23, 2007
Key facts
- NPI
- 1689630469
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- PRIMEDOC OF RANDOLPH COUNTY PA
- Practice address
- 364 White Oak St
Asheboro, NC 27203-5434 - Phone
- (843) 237-3378
- Fax
- (843) 237-5073
- NPI assigned
- Apr 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Robert Reynolds, MD
- Title
- President
- Phone
- (828) 210-3260
Practitioners 18
-
Gbenga Aluko, MD
-
Lydia Elaine Boyd Campbell, MD, MPH
-
Chad Howard, MD
-
Joseph P Isley, MD
-
Ronnie L Jacobs, MD
-
Godfrey Dele Onime, M.D.
-
Ava M Swayze, DO
-
Folusakin Odewumi Ayoade, M.D.
-
Adelaida M Miro, M.D.
-
Cathy A Straits, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
364 White Oak St
Asheboro, NC 27203-5434
Mailing address
PO Box 75577
Charlotte, NC 28275-0577
Phone (843) 237-3378
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02436 | Other | NC | BLUE CROSS BLUE SHIELD |
| 8902436 | Medicaid | NC | |
| CG5905 | Other | NC | RAILROAD MEDICARE |
Other providers in Asheboro, NC
- Premiere Pediatrics PLLC
- Pressley, Knockum, and Associates, D.D.S., P.a.
- Prevo Drugs Inc
- Marta S. Price
- Marva Price
- Cody Lee Prince
- Caroline C Prochnau
- Program Resource Institute, Inc.
- Program Resource Institute, Inc.
- Program Resource Institute, Inc.
All providers in Asheboro, 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 Jul 23, 2007. 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.