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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PINE HAVEN FAMILY MEDICINE PA

Active Organization

Family Medicine · RANDLEMAN, NC

Registration Details

NPI Number
1891960241
Provider Type
Organization
NPI Issued
Apr 28, 2008 (18.022587073069 yrs)
Last Updated
Nov 30, 2012
License
9900682 (NC)

Practice Information

Address
604 WEST ACADEMY ST
RANDLEMAN, NC, 27317
Browse NC providers · Browse ZIP 27317
Phone
3364981200
Fax
3364981206
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.