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Contact Information

LEGACY MEDICAL GROUP, PLLC
1921 NEW GARDEN ROAD I104
GREENSBORO, NC27410
 Phone: 919-370-8188
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Home Infusion

251F00000X
 

Infusion Therapy

261QI0500X
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for LEGACY MEDICAL GROUP PLLC · (Female)

NPI Number 1558010843
Status Active
Credentials
Entity Individual
Enumeration date 03/22/2022
Last updated 03/22/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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