Provider Demographics
NPI:1942622154
Name:UNITY MEDICAL GROUP, INC.
Entity Type:Organization
Organization Name:UNITY MEDICAL GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-210-9620
Mailing Address - Street 1:301 S CHURCH ST
Mailing Address - Street 2:SUITE 130
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-5755
Mailing Address - Country:US
Mailing Address - Phone:252-210-9620
Mailing Address - Fax:888-273-8787
Practice Address - Street 1:844 NC HIGHWAY 39 S
Practice Address - Street 2:
Practice Address - City:LOUISBURG
Practice Address - State:NC
Practice Address - Zip Code:27549-7114
Practice Address - Country:US
Practice Address - Phone:252-210-9620
Practice Address - Fax:888-273-8787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-08
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility