Provider Demographics
NPI:1609807072
Name:REGIONAL PHYSICIANS LLC
Entity Type:Organization
Organization Name:REGIONAL PHYSICIANS LLC
Other - Org Name:REGIONAL PHYSICIANS ORTHOPEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:BABER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-883-4296
Mailing Address - Street 1:1720 WESTCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7285
Mailing Address - Country:US
Mailing Address - Phone:336-883-4296
Mailing Address - Fax:336-883-9728
Practice Address - Street 1:711 NATIONAL HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-2667
Practice Address - Country:US
Practice Address - Phone:336-476-4931
Practice Address - Fax:336-476-4029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5903726Medicaid
0209YOtherBCBS
0209YOtherBCBS