Provider Demographics
NPI:1336956879
Name:ARMUR FAMILY MEDICINE, PLLC
Entity type:Organization
Organization Name:ARMUR FAMILY MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GUY
Authorized Official - Middle Name:
Authorized Official - Last Name:DOMM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-699-5453
Mailing Address - Street 1:1610 DALE EARNHARDT BLVD
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28083-3210
Mailing Address - Country:US
Mailing Address - Phone:704-699-5453
Mailing Address - Fax:
Practice Address - Street 1:1610 DALE EARNHARDT BLVD
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28083-3210
Practice Address - Country:US
Practice Address - Phone:704-699-5453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty