Provider Demographics
NPI:1750318655
Name:REGIONAL PHYSICIANS LLC
Entity Type:Organization
Organization Name:REGIONAL PHYSICIANS LLC
Other - Org Name:REGIONAL PHYSICIANS WALK IN MEDICAL CARE FAMILY MEDICINE OCC. HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:SHELTON
Authorized Official - Last Name:CREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-883-2500
Mailing Address - Street 1:624 QUAKER LN
Mailing Address - Street 2:STE.207C
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-3832
Mailing Address - Country:US
Mailing Address - Phone:336-883-2500
Mailing Address - Fax:336-883-9728
Practice Address - Street 1:2401 HICKSWOOD RD
Practice Address - Street 2:SUITE 106
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-1537
Practice Address - Country:US
Practice Address - Phone:336-885-9675
Practice Address - Fax:336-885-9682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-27
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
0209YOtherBCBS
NC2343495Medicare PIN
NC5766380011Medicare NSC
NC2343495Medicare PIN